Awards & Scholarships

Distinguished Alumni


Nominator’s Information
Name
Phone Number
Address
E-mail
Graduation Year (s)
Major(s)
Nominee’s Information
Name
Address (if known)
City/State/Zip
Home phone (if known)
Work phone (if known)
Employed by
Position
Graduation Year(s)
SIUE Degree(s)
Other Degrees (if known)
E-mail (if known)
Description of why you think this individual is a Distinguished Alumnus/a
Describe the special characteristics, career highlights, honors and awards, personal and professional achievements, organization leadership and community involvement.
Whom may we contact for more information about your nominee?
Name
Home Phone
Work Phone
Email