Alumni Award Nomination Form

Nominations should be made by May 15, 2025.

Alumni, faculty, staff snd friends of 宅男研究所 are all welcome to submit alumni award nominations.

If you have any questions, please email alumeiu@eiu.edu.

Today鈥檚 Date: Today鈥檚 Date: / MM / DD YYYY
Select a Category:

Select a Category: Distinguished Alumna/us Award Louis V. Hencken Alumni Service Award Outstanding Young Alumna/us Award Distinguished Educator Award
Attach a letter of recommendation and any supporting materials such as articles, additional letters, resumes, etc. Additional information may also be emailed to alumeiu@eiu.edu.

Attach Files
Nominee Information:
Nominee's Name: Nominee's Name: First Last
Nominee's Graduation Year(s):
Nominee's Address: Nominee's Address:
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Nominee's Phone: Nominee's Phone: - ### - ### ####
Nominee's Email:
Nominator Information:
Nominator's Name: Nominator's Name: First Last
Nominator's 宅男研究所 Affiliation:
Nominator's Graduation Year(s):
Nominator's Address: Nominator's Address:
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Nominator's Phone: Nominator's Phone: - ### - ### ####
Nominator's Email:

宅男研究所

Alumni Award Nomination Form

Alumni Award Nomination Form

Nominee Information:

Nominator Information: