Chancellor’s Student Service and Leadership Awards

UIC

 Nomination Form

Thank you for your interest in submitting a nomination for the Chancellor’s Student Service and Leadership Awards Ceremony. Please read about the award categories before proceeding.

Chancellor’s Student Service Award (CSSA) – recognizes students who have made a significant contribution to the university, region, nation, or world through community service. Student nominees must have contributed a substantial amount of time, effort, and creativity, and have a minimum GPA of 2.5.

Eugertha Bates Memorial Award – given in recognition of the student(s) whose volunteer activities, whether on campus and/or in a community setting, demonstrate an outstanding level of caring, dedication, and selfless commitment to others. Nominees must have exhibited an exceptional contribution to a humanitarian need.

Jane Addams Distinguished Service Award - presented to students whose volunteer activity substantially addresses a distinct need in the community along with inspiring others to engage in volunteer service. Individual recipients must be involved in the creation of a new project or service to address such a need, and must demonstrate the highest level of dedication and selfless commitment to volunteer service.

Activities Honorary Society (AHS) Induction - honors no more than 15 exemplary students each year for their demonstrated student leadership. Founded in 1950 by student leaders at the University of Illinois Undergraduate Division at Navy Pier, AHS is one of two traditions remaining from the original campus.

All students selected to be honored at the Chancellor’s Student Service and Leadership Awards Ceremony will receive the Chancellor’s Student Service Award (CSSA) recognition. The Eugertha Bates Memorial Award, Jane Addams Distinguished Service Award and Activities Honorary Society Induction are given to the few most deserving students as chosen by a selection committee.

Minimum requirements for all awards:
Currently enrolled student at UIC
• Overall minimum GPA of 2.5 as indicated in the student’s university academic record


Page 2 of this nomination form seeks information about your nominee’s service for CSSA.

Page 3 of this nomination form seeks information about your nominee’s service for the Eugertha Bates Memorial Award, and/or the Jane Addams Distinguished Service Award, and/or consideration for induction into the Activities Honorary Society if they qualify and if you choose to nominate them for one of these honors.

Students will be automatically prompted via email to respond with their contact information to ensure accuracy and to complete their nomination. Note: They must provide this information in order for their nomination to be complete and considered for an award.

Directions

Complete the following information for the student you are nominating (or about you for a self-nomination). A UIN and the student's preferred email are required to notify the student that he or she has been nominated and to collect/confirm required contact information from the student to complete this nomination.

Name of Nominated Student  
Nominated Student's UIN  
Nominated Student’s Email