University of Illinois
at Urbana-Champaign
CEEAA DISTINGUISHIED ALUMNUS/ALUMNA AWARD NOMINATION FORM
This award is presented annually to University of Illinois at Urbana-Champaign (UIUC) Civil and Environmental engineering graduates. The nominees demonstrate eligibility by:
• Having distinguished themselves through outstanding leadership in the planning and direction of engineering work;
• Having administered major engineering projects;
• Contributing to the knowledge in their field of expertise;
• By fostering the development of young engineers;
• By contributing to society at large and
• Showing commitment to their profession by contributing to civil engineering activities and organizations.
Deadline for 2018 Nominations: August 1, 2017
Nominations submitted after the deadline will be considered for the 2019 awards.
NOMINEE INFORMATION:
Date of Submission:
Name:
Home Address:
Phone:
Email:
Family (names):
Present Employer:
Present Occupation:
Company Address:
Class and Degree:
College:
CAREER ACHIEVEMENTS
1. Outstanding accomplishments in chosen field of endeavor:
2. Special recognition given, honors, publications:
3. Civic activities, philanthropic endeavors, etc.
4. Career since leaving the University/Biographical Record:
5. Additional Comments:
6. Citation (reason for nomination):
NOMINATED BY:
Name:
Address:
Phone:
Company Name:
Company Address:
Email:
Note: Please keep nominations to a maximum of five pages. Information should be summarized. If nominee has a significant amount of publications, state the number and only highlight the most significant ones.
Please return nomination forms by August 1, 2017 to:
Keely Ashman
Department of Civil and Environmental Engineering
Room 1117 Newmark Civil Engineering Laboratory
205 North Mathews Ave., Urbana, IL 61801