University of Illinois Alumni Association at Urbana.

Illini Comeback Nomination Form

This form should be submitted no later than Jan. 31 to be considered for the following year's Comeback program (usually held in October). If you experience any difficulties with this online form, please contact the Alumni Association at 217/333-1471 or alumni@uillinois.edu to request a paper copy of the nomination form.

Nominee's full name:

Home street address:

City:

State:

Zip Code:

Date of degree(s):

Degree(s) received:

College/Department:

Present occupation:
(Please include title, profession, company/organization name and address, telephone, e-mail address, etc.)

Career path since leaving the University:

Special recognition given, honors earned, publications, inventions or community service:

Significant contributions to the University of Illinois and/or reasons why this nominee would be an outstanding Comeback Guest:

Special community involvement or volunteer contributions that distinguish this nominee:

Nominated by:

Your address:

College/Department:

Your phone:

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

 

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