15th Annual Alumni Awards Nomination Brochure

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Nominations must be received by September 30 to be considered for awards recognition. Files are considered active and eligible for an award for two years and may be updated at any time. Please send nominations to: Chicago State University Office of Alumni Affairs, 9501 S. King Drive – Cook ADM 322, Chicago, IL 60628, or email to lwrigh27@csu.edu. For additional information call 773.995.3648.
Date _________________________ Please print or type information Annual Alumni Awards Celebration Nomination Form Award Categories (Please check one category only. Multiple checks will result in elimination.) Excellence in Education Award Outstanding Achievement in Medicine Golden Alumna/Alumnus Award Lifetime Achievement Award Outstanding Business/Professional Achievement Outstanding Achievement in Community/Public Service Outstanding Achievement in Health Sciences Outstanding Achievement in Sports/Athletics Special Recognition Award Outstanding Young Alumni Award Nominee’s Full Name ___________________________________________________ Maiden Name ________________________________________________________ Member of the Alumni Association YES NO Home Business Phone Number____________________________________ Email Address ________________________________________________________ Class Year(s) Degree(s)_______ Department(s)/School(s) _______________________ Major(s) _____________________________________________________________ Preferred Address (Street) _______________________________________________ City_____________________________________State______ ZIP _____________ Present Occupation (title and company, profession, etc.) ________________________ Nominated By___________________________________ Date ________________ Member of the Alumni Association YES NO CSU STAFF Email Address ________________________________________________________ Address _____________________________________________________________ City_____________________________________State______ ZIP _____________ Please include a statement describing your reason for making this nomination. Include biographical sketch, resume and any other available supporting documentation.
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15th Annual Alumni Awards Nomination Brochure

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