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Appendix J: Reward and Recognition Nomination Forms

Reward and Recognition Nomination Forms

  • The following pages contain nomination forms for the Reward and Recognition Programs:
  • Learning Environment Award Nomination Form
  • Annual Faculty Recognition Award Nomination Form
  • Faculty Award for Professional Excellence Nomination Form (upon review of nominations, the Reward and Recognition Committee will invite selected nominees to complete an application form for this award).

LEARNING ENVIRONMENT AWARD

NOMINATION FORM

Name of Person Being Nominated:

First Name:                                                                                                                                                                                      
Last Name:                                                                                                                                                                        
Teaching Discipline/Academic School:                                                                                                                    
 
Rationale for Nomination: (Please provide a brief narrative describing the activity, behavior, or contribution for which the nominee is being nominated.)
 
 
 
 
 
 
 
 

Name of Person Submitting the Nomination:

First Name:                                                                                                                                                                                      
Last Name:                                                                                                                                                                        
Organization (if other than the College):  _____________________________________________
Title:                                                                                                                                                                                    
Office Telephone #:                                                                                                                                                        
E-Mail:                                                                                                                                                                                 
 
Signature:                                                                                                                                                                          
Date:                                                                                                                                                                                   
 

ANNUAL FACULTY RECOGNITION AWARD

NOMINATION FORM

Name of Person Being Nominated:

First Name:                                                                                                                                                                                      
Last Name:                                                                                                                                                                        
Teaching Discipline/Academic School:                                                                                                                    
 
 
 
 

Identification of Award for which Faculty Member is being nominated (Please check one):

 
Faculty Teaching Effectiveness Award
Faculty Community Impact Award
Faculty Scholarly and Creative Engagement Award
Faculty Multicultural Enrichment Award
Faculty Institutional Responsibility Award
Faculty Leadersship Awar
 

Rationale for Nomination: (Please provide a brief narrative describing the activity, behavior, or contribution for which the nominee is being nominated.)

 
 
 
 
 

Name of Person Submitting the Nomination:

First Name:                                                                                                                                                                                      
Last Name:                                                                                                                                                                        
Organization (if other than the College):     ____________________________________________
Title:                                                                                                                                                                                   
Office Telephone #:                                                                                                                                                        
E-Mail:                                                                                                                                                                                
 
Signature:                                                                                                                                                                          
Date:                                                                                                                                                                                   
 

FACULTY AWARD FOR PROFESSIONAL EXCELLENCE

NOMINATION FORM

Name of Person Being Nominated:

First Name:                                                                                                                                                                                       
 Last Name:                                                                                                                                                                        
Teaching Discipline/Academic School:                                                                                                                    
 

Rationale for Nomination: (Please provide a brief narrative describing the activity, behavior, or contribution for which the nominee is being nominated.)

 
 
 
 
 
 
 

Name of Person Submitting the Nomination:

First Name:                                                                                                                                                                                      
Last Name:                                                                                                                                                                        
Title:                                                                                                                                                                                    
Organization (if other than the College):   _____________________________________________
Office Telephone #:                                                                                                                                                       
E-Mail:                                                                                                                                                                                
 
Signature:                                                                                                                                                                          
Date:                                                                                                                                                                                   
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