Students: please use your home address, phone number, etc.
All suggestions submitted are considered, but due to space limitations and topical interest, all suggestions may not be used.
Student's name:
E-mail address: (required)
Phone:
Major:
Class status: Graduate Senior Junior Sophomore Freshman
Address:
This student should be recognized for the following: (Example: This student recently had art exhibited at New Styles Art Gallery in Chicago.)
Other information: (If this form is being submitted by someone other than the student, please provide your information here.)