Distinguished Graduate Student Award Selection

(ONLY GRADUATE COORDINATORS OR DELEGATED GRADUATE FACULTY MAY SUBMIT THIS FORM)
Please enter the information below to submit information about the student chosen by your program to receive the Distinguished Graduate Student Award.

Student Name Student Name First Last
If the student prefers a different name be used on any certificate or acknowledgement, please insert here. (If same, leave blank): If the student prefers a different name be used on any certificate or acknowledgement, please insert here. (If same, leave blank): First Last
Student E # *
Program Name (If applicable, please denote if this is the on-campus cohort, or the online cohort.)
Who will attend the awards ceremony and present the plaque to this student? *
Graduate Coordinator or Delegate submitting the form:
(Distinguished Graduate Student Nominations may only be made by an EIU graduate coordinator or designee. Students may not nominate themselves. *