Nominee First Name:

Nominee Last Name:

Nominee Category:
Staff Member
Graduate Student Employee
Undergraduate Student Employee

Nominee Title:

Nominee Department:
Athletics, Intramurals and Recreation Edgar M. Bronfman Center for Jewish Student Life Center for Multicultural Education and Programs Office for International Students and Scholars Office of Lesbian, Gay, Bisexual, and Transgender Student Services Office of Student Activities Office of the VP for Student Affairs Moses Center for Students with Disabilities Residential Education Student Health Center Student Resource Center Wasserman Center for Career Development

Which Student Affairs Hallmarks does this nominee exemplify? Please check as many as applicable.
Learning
Community
Diversity
Wellness
Quality Service

How does this nominee exemplify this/these Hallmark(s)? Please give detailed examples. Max. 500 words.

What positive impact has this nominee had on his/her surrounding community? Max. 500 words.

Additional Comments. Max. 500 words.

Nominator First Name:

Nominator Last Name:

Nominator Affiliation/Department: Athletics, Intramurals and Recreation Edgar M. Bronfman Center for Jewish Student Life Center for Mulicultural Education and Programs Office for International Students and Scholars Office of Lesbian, Gay, Bisexual, and Transgender Student Services Office of Student Activities Office of the VP for Student Affairs Moses Center for Students with Disabilities Residential Education Student Health Center Student Resource Center Wasserman Center for Career Development NYU Student

Nominator Phone:

Nominator Address: