Shin Humanitarian Award
Application Form
*
Required
Nominee Information
1. Nominee
First Name*
Last Name*
Email*
2. Address
Street address or P.O. Box*
City*
State*
Zip Code*
3. University*
Urbana-Champaign
Chicago
Springfield
Other
4. Affiliation
Department*
Group
5. Position*
Faculty
Staff
Alumni
6. Reasons for Nomination*
1200 word limit
7. Biography*
300 word limit
8. Upload CV/Resume*
PDF, Word, or Text - Max file size: 4MB -
No apostrophes in file name
Nominator Information
Nominator
Full Name*
Email*
University*
Urbana-Champaign
Chicago
Springfield
Other
Position*
Faculty
Staff
Alumni
*
Required
