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2012-13 Hallmark Awards Nomination Form

Please fill out the form below to submit a nomination. When you hit the submit button, you will receive confirmation that the form was submitted successfully. To clear the form at any time, hit the clear button at the bottom of the page.


Nominee First Name:

Nominee Last Name:

Nominee Category:


Nominee Title:

Nominee Department:


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

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:

Nominator Phone:

Nominator Address: