Alumni Nomination
Alumni Nomination

Please submit this form by March 1, 2017 or you may print the form here.

Instructions for completing alumni awards nomination form

  1. Each nomination much be submitted on a separate form.
  2. Be concise and specific when listing accomplishments of the nominee.
  3. Only winners will be notified by Illinois Wesleyan that they were nominated.
  4. Winners must be present at Homecoming on the weekend of October 13-15, 2017 to accept their award and give their acceptance speech.
  5. Please submit the completed nomination form by March 1, 2017.
  6. Alumni nominated in previous years may be nominated again. 

Criteria

  1. Nominees for Robert M. Montgomery Outstanding Young Alumnus/Alumna Award must have graduated from Illinois Wesleyan between the years of 2002-2016.
My Information:
First Name
required
Last Name
required
Primary E-mail
Affiliation with IWU
required
Class Year
Preferred Phone
required
Phone Type
required
Secondary Phone
Street Address
required
State
required
Zip
required

Nominee's Information
Nomination Type. Choose One.


required
Nominee First Name
required
Nominee Last Name
required
Nominee Other Names (Maiden, etc)
Nominee Class Year
required
Nominee Street Address
Nominee City
Nominee State and Zip
Nominee Business/ Organization/Affiliation
Nominee Title
1. Biography: Provide a brief bio of the nominee, including educational background and career path. (200 words maximum)
required
2. Journey: Briefly describe the personal journey of the nominee, including any obstacles overcome. (400 words maximum)
required
3. Leadership: Describe the nominee’s qualities of leadership (400 words maximum)
required
4. Loyalty to IWU: How has the nominee demonstrated loyalty to Illinois Wesleyan University? Specifically, how has the nominee embodied IWU’s mission of fostering creativity, critical thinking, effective communication, strength of character and a spirit of inquiry, with a commitment to diversity, social justice and/or environmental sustainability. In what ways has the nominee been engaged with IWU since graduation? (helping with alumni events, planning reunions, offering student internships, speaking on campus, assisting with fundraising efforts, etc)
required
5. Awards: List any certificates, awards, or other recognition given to the nominee in the last five years that would support endorsement as an Alumni Award Winner. (250 words maximum)
required
6. Additional Information: Please provide any additional comments relevant to the nominee’s accomplishments. (little-known facts, unique hobbies, special interests, etc.) (250 words maximum)
required

Please submit this form by March 1, 2017.

P.O. Box 2900 | Bloomington, IL 61702-2900 | Local: 309-556-3251 | Long Distance: 888-498-2586 | Fax 309-556-3579 | iwualum@iwu.edu