This website uses scripting to enhance your browsing experience. Enable JavaScript in your browser and then reload this website.

skip to main content skip to footer

Grow the Gold Nomination Form

Thank you for taking the time to nominate a prospective student through Grow the Gold. Please enter all available information on the student's behalf. In order to ensure that we are able to accurately tie this nomination to a student record or create a new record, first name, last name, email address and birthdate are required fields.

Grow the Gold Nominee Information

First Name*

Last Name*

Email Address*

Birthdate*

Birthdate*

Student Phone Number

This is their:

Current High School or College

Future Students Mailing Address

Future Students Mailing Address

Country

Street

City

Region

Postal Code

Academic Area of Interest (if known)

They will be entering U of I as a:

They will start at U of I in:

Is the student a legacy? ("Legacy" meaning, they have a family member who is a U of I grad; parent, grandparent, sibling, step-parent, etc.)

Is the student a legacy? ("Legacy" meaning, they have a family member who is a U of I grad; parent, grandparent, sibling, step-parent, etc.)

Yes

No

Tell Us About You

First Name

Last Name

Email

Phone

This is my:

Your Mailing Address

Your Mailing Address

Country

Street

City

Region

Postal Code

What year did you graduate from U of I (if applicable)?