Nominee

 

Name of Faculty Member

Title

Division

Program or Department

   

Nominator

 

First Name

Last Name

New School Email address

New School ID

 

Relationship to nominee

 

If Student

Major
Program, Department, or School
Division
   

If Colleague

 
Title
Program, Department, or School
Division
   

If Dean, Chair, or Program Director

 
Program, Department, or School 
Division

 




 
Please provide a brief narrative (maximum 500 words) summarizing the nominee's excellence.  Your narrative will be an important consideration and your nomination will not be accepted without it.  
 
 
   
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