Academic Staff Excellence Award Nomination Form

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Nominator Information

Name(Required)

First Last

Title(Required)

Department and School/College/Division(Required)

Email(Required)

Nominator Additional Contact

If there is another person you would like copied on communication relating to this nomination, please enter their name and email address below.

Name

First Last

Nominee Information

Name(Required)

First Last

Title(Required)

Department and School/College/Division(Required)

Email(Required)

Award(Required)

Please choose the award for which the person is nominated:

Mary Lucy Clark Distinguished Teaching Award

The Chancellor's Award for Excellence in Service to the University

The Chancellor's Award for Excellence in Research: Independent Investigator

The Chancellor's Award for Excellence in Research: Critical Research Support

The Chancellor's Award for Excellence in Leadership: Individual Unit Level

The Chancellor's Award for Excellence in Leadership: School, College, or Larger University Community Level

Martha Casey Award for Dedication to Excellence

Ann Wallace Career Achievement Award

Please submit the nomination as a single .pdf.(Required)

Max. file size: 10 MB.

I confirm the following:(Required)

Select exactly 3 choices.

The nominee was employed 50% time or greater during the academic year in which they were nominated.

The nominee has at least five years of service (as defined in ASPP 1.03, Years of Academic Staff Service) as an academic staff member, limited appointee with an academic staff backup appointment, limited appointee with no backup appointment, or a limited appointee with a university staff backup appointment.

The nomination packet contains all required materials.