ࡱ> 584 bjbjVUVU 84?4? 3333O3 ccccc>>>g i i i i i i 0"% >>>>> jcc jjj>ccg j>g jjV[@^E^T S  0 T0&j0&jX>>> j>>> >>>>0&>>>>>>>>>+ :   鶹 Illinois University College of Education & Human Services Distinguished Alumni Award The College of Education & Human Services Distinguished Alumni Award is given to graduates who have used their education to make a significant impact through personal and professional achievements. Through this award, we share the achievements of our alumni with our students, alumni, friends and the community at large. It also demonstrates our connection to our graduates and our pride in their accomplishments. This award ceremony is tentatively scheduled for October 4, 2019. Prior to the presentation, we may ask that the recipient conduct an address to our faculty and students. 鶹 College of Education & Human Services Distinguished Alumni Award Nomination Form Criteria Nominees must have graduated from an undergraduate or graduate major within the College of Education and Human Services at 鶹 Nominees must have achieved recognition for outstanding definable career accomplishments Nominees must have made outstanding contributions in their field of expertise To be eligible for nomination, alumni do not have to be working in the particular career discipline Nominees must have a record of distinguished service It is preferred but not required that nominees have had some level of service/contribution to 鶹 Please fill in as much of the following information as possible: Name_________________________________________ Major/Class Year________________________ Address______________________________________________________________________________ City____________________________________________ State____________ Zip_________________ Home Phone__________________________ E-mail__________________________________________ Title_________________________________________________________________________________ Employer Name________________________________________________________________________ Employer Address______________________________________________________________________ City____________________________________________ State____________ Zip_________________ Employer Phone_______________________________________________________________________ Additional Education Year & Degree_____________________ College/University____________________________________ Year & Degree_____________________ College/University____________________________________ Name of Nominator_____________________________________________________________________ Nominator Phone_______________________ E-mail__________________________________________ Please provide information on the nominee in any or all of the following categories. Additional supporting material (press releases, awards, honors, etc.) may be included as well. 1. List accomplishments in professional life. 2. List service in community affairs at local, state, or national levels. 3. List any known service/significant contributions to 鶹 Nominations are due by February 15, 2019 to: Dana Moon 117 Horrabin Hall dm-moon@wiu.edu ]^ , - < = > ? 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