Alumni Awards Nomination Form

Eastern Illinois University College of Education and Professional Studies (CEPS)

All nominees/awardees must be EIU Alumni whose degree is in a program within the College of Education and Professional Studies

Nominations are due 12/31/2009

Award Categories and Criteria

CEPS Rising Star Award

The recipients of this award are alumni within 3-5 years of graduation from Eastern Illinois University
The recipients of this award have excelled in their field or career for which the CEPS degree prepared them

CEPS Leadership and Service Award

The recipients of this award have had a significant impact in their chosen field, community, or society

CEPS Hall of Fame

This recipient has attained distinguished professional success and prominence
This recipient is a living role model in the discipline represented by the College of Education and Professional Studies

Award Category for this Nomination CEPS Rising Star Award CEPS Leadership and Service Award CEPS Hall of Fame
Nominee Information
Name First Last
Home Address
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Work Address
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Present Position
Employer
Approximate Start Date / MM / DD YYYY
Supporting Information
Please provide a brief statement (500 words or less) of the nominee's contributions that would make him or her an excellent recipient of the award in the chosen category
Please provide a list of her/his significant contributions in their field or society according to the criteria for the award category
Nominator Information
Nominator Name First Last
Nominator Email
Nominator Phone - (###) - ### ####

Alumni Awards Nomination Form

Alumni Awards Nomination Form

Award Categories and Criteria

Nominee Information

Supporting Information

Nominator Information