UIC College of Applied Health Sciences Distinguished Alumni Achievement Award: Preliminary Nomination Form

UIC College of Applied Health Sciences Distinguished Alumni Achievement Award: Preliminary Nomination Form

Welcome

Thank you for your interest in nominating yourself or someone you admire for the UIC College of Applied Health Sciences Distinguished Alumni Achievement Award. This form is designed to collect preliminary information on your nominee. All preliminary nominations will be carefully reviewed. If your candidate is selected to move forward in the review process, you will be contacted for more detailed information about that person. If, at any point, you wish to save this form to finish it at a later time, scroll to the bottom of the page and follow the directions outlined.

About the nominee

 

 

 

answer must be an email address