Rising Star Award Nomination Form

The Rising Star Alumni Award is presented by the University of Illinois Laboratory High School to honor alumni of distinction. The award was founded in 2017 to recognize alumni, age of 40 or under, who have enhanced the reputation of the school by distinguishing themselves in their careers, and have made significant contributions to their community, state and nation through professional service, public service and civic activities, or in their service to Uni High.

Award Criteria

Nominee must be a graduate or attendee of the University of Illinois Laboratory High School
Nominee must have made significant contributions to the school, their community, state or nation through professional service, public service and/or civic activities, or of service to the school.
Nominee must be prepared to be a key speaker at the school graduation in May.

Selection Process

Nominations are reviewed annually at the beginning of the spring semester and honorees are selected by a committee convened by the School director. The award is presentated at the School graduation ceremony in May. To submit a nomination, please provide the information as described in this form. The nominator must provide all materials pertinent to the nomination.

1. Nominator Name:

2. Nominator Preferred Phone Number:

3. Nominator Preferred Email Address:

4. Nominator Relationship to the Nominee:

5. List of endorsements (preferred but optional):

6. Nominee Name:

7. Nominee Mailing Address:

8. Nominee Preferred Phone Number:

9. Nominee Preferred Email Address:

Please provide thoughtful and detailed support for your candidate.

10. Honors, accolades, service, professional involvement (list all that apply):

11. How does the nominee’s work and/or accomplishments reflect the value of her/his Uni experience:

12. List significant achievements the nominee has made to the School, their profession, and/or to the greater community through public service or as a volunteer:

13. Express your reasons why this individual should be presented the Max Beberman Outstanding Alumni Award:

14. Provide the nominee’s resume, vitae and other biographical information. (Supporting articles and letters of recommendation are accepted)

Click Submit below or you can use US Mail to:

University of Illinois Laboratory High School
MC-254
Advancement Office (Attn: Beberman Award)
1212 W Springfield Avenue Urbana, IL 60801

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Rising Star Award Nomination Form

Rising Star Award Nomination Form

1. Nominator Name:

2. Nominator Preferred Phone Number:

3. Nominator Preferred Email Address:

4. Nominator Relationship to the Nominee:

5. List of endorsements (preferred but optional):

6. Nominee Name:

7. Nominee Mailing Address:

8. Nominee Preferred Phone Number:

9. Nominee Preferred Email Address:

Please provide thoughtful and detailed support for your candidate.

10. Honors, accolades, service, professional involvement (list all that apply):

11. How does the nominee’s work and/or accomplishments reflect the value of her/his Uni experience:

12. List significant achievements the nominee has made to the School, their profession, and/or to the greater community through public service or as a volunteer:

13. Express your reasons why this individual should be presented the Max Beberman Outstanding Alumni Award:

14. Provide the nominee’s resume, vitae and other biographical information. (Supporting articles and letters of recommendation are accepted)

Click Submit below or you can use US Mail to:

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