IIT/Alumni Association

Alumni Awards
Nomination Rules » Please review the Nomination Rules before filling out the nomination form. To submit a nomination online, fill out the required sections and supporting materials below. View a sample of supporting material for a nomination here. If you would like to submit a nomination by mail, you can download the nomination form here (pdf).
*Nominations are being accepted for 2010*
About the nominee:
*Name:
Class and degree:
Home Address:
Work Address:
Email
*Home Phone
*Work/Day Phone
*Cell Phone
Name of nominee's family members and relationships (for bio and invitations if awarded)::

About the nominator: *=required field
*Name:
Are you an alumnus/a?	Yes No
*Home Address:
Work Address:
*Email
*Phone
*Best way to contact you if needed:
Relationship to the nominee:

Which award is this nomination for?
Select the award you are nominating your candidate to receive. (Nomination Rules)

	IIT ALUMNI MEDAL Awarded to an individual who has demonstrated an exceptional commitment to society through service or support and achieved significant personal and professional success.
	IIT ALUMNI SERVICE AWARD Awarded to an individual who demonstrates continuous, selfless commitment to and devoted enthusiasm for the university through involvement in varied areas of the university including, but not limited to, recruitment, support, service, and leadership.
	IIT GLOBAL SERVICE AWARD Awarded to an individual who has contributed through extraordinary efforts to strengthening IIT’s reputation on an international scale.
	IIT LIFETIME ACHIEVEMENT AWARD Awarded posthumously to an individual who has passed away in the past 12 months who during his or her life achieved personal success, made an outstanding contribution to his/her chosen field of endeavor, and achieved recognition by his/her colleagues.
	IIT OUTSTANDING YOUNG ALUMNUS/A AWARD Awarded to an individual who has graduated with an undergraduate degree in the last ten years and excelled beyond his/her peers in areas of leadership and professional success and/or has served his/her community or the university selflessly. Nominees in this category are first reviewed and narrowed down by a committee of GOLD alumni, and then the winner is determined by the Awards Selection Committee.
	IIT PROFESSIONAL ACHIEVEMENT AWARD Awarded to an individual who has achieved personal success, made an outstanding contribution to his/her chosen field of endeavor, and achieved recognition by his/her colleagues.
	IIT COLLENS MERIT AWARD Awarded to an individual nominated by the staff and/or faculty as an individual who has demonstrated outstanding commitment to the future of IIT through philanthropic contributions paired with involvement in his or her gift.

Please support this nomination by briefly answering the following questions as they pertain to the particular award for which you are nominating:

What accomplishments or contributions has the nominee made to his or her profession, community or the University that are pertinent to this award?

What has been the impact of these accomplishments or contributions on the University, community or the nominee’s profession?

Supporting materials: (Please continue to submit your information online by filling out the fields below. If you would like to mail in your supporting materials you can download the proper forms here. )

Brief professional biography

List of honors or awards received

List of publications

News or journal articles or other summaries describing accomplishments
(you may attach documents, or enter url or article text in the box below):

Photo (Please make sure photo is at least 300 dpi if attached or 8x10 original print)

Attachment #1:
Attachment #2:

Letters of recommendation (two required; please attach or paste in): Reference 1:
Name:
Phone:
Email:
Letter:
Reference 2:
Name:
Phone:
Email:
Letter: