Deadline for nominations is September 30.

The City Partner Award is presented annually by the University of Illinois Alumni Association and the UIC Chancellor. Nominations are encouraged throughout the year. Nominations are kept active for three years.

For more information, or to acquire a paper nomination form, please contact the University of Illinois Alumni Association at 312/996-8535 or e-mail alumni@uillinois.edu

INFORMATION ABOUT THE NOMINEE:

Full name (include name at graduation in parentheses, if different):

Home street address:

City:

University of Illinois degree(s) received:

Class year:

College/School/Department/Major:

Nominee's degrees from other colleges/universities:

Present occupation (Include title and company, profession, business address, etc.; if retired, date of retirement.):

Special recognition given, honors earned, publications or inventions produced:

Outline significant contributions that have benefited the University of Illinois at Chicago. In your opinion, why does the nominee deserve this honor?

Other information of interest:

Nominee's family - name of spouse and children - indicate if any attended/are attending the University of Illinois and degrees (This information is optional.):

Nominated by:

Your address:

Phone number:

FAX number:

Your e-mail address (necessary in order to process this form):

The information in this form is requested to nominate alumni for an award and to update Alumni Association records. It will not be disclosed to anyone outside the University of Illinois without the nominee's permission.