Student Spotlight- General Form

Student Spotlight- featured section of THE UPDATE, weekly undergraduate newsletter

By filling out this form, I agree to share any information contained herein with the public at large. I understand that I may provide any and all information I feel comfortable sharing. I acknowledge that Student Academics Affairs reserves final editing and/or denial privileges.

1. LAST NAME

2. FIRST NAME

3. UNIVERSITY ID (UIN) (9 digit number) answer must be a university ID like 612345678

4. MAJOR/MINOR

5. AGE

6. HOMETOWN

7. YEAR IN SCHOOL

8. What do you enjoy about your campus experience, so far?

9. How did you know you wanted to go into the field of education?

10. What do you enjoy about the College of Education?

11. Do you have a favorite professor, or course? Why?

12. Fun fact about me:

13. Following are 3 questions we'd like you to answer if applicable! 1) Tell us about any research you’ve done and the mentorship you’ve received from your instructors. 2) Tell us about any study abroad experiences you’ve had and why you thought they were beneficial for your life and career. 3) Tell us about your future career plans after graduating and why you want to pursue that field.

14. Please upload a photo (maximum file size: 15MB)

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15. PHOTO MODEL RELEASE: I hereby give permission to the College of Education at the University of Illinois at Urbana-Champaign to use and publish any pictures or video of me taken for the purposes of promoting the College and University and its programs and services. In addition, I waive all claims to compensation or damages based on the use of my image or voice, or both, by the university. I also waive any right to inspect or approve the finished photograph or video or audio recording. I understand that this consent is perpetual, that I may not revoke it, and that it is binding on me, my heirs and assigns. I warrant that I am at least 18 years of age and that I am competent in my own name insofar as this consent is concerned. I further attest that I have read this consent form and fully understand its contents. This form will remain on file throughout the period in which I am a student or guest at the institution and will then become an archival document.

Yes