Center for Teaching, Learning, and Development

Distinguished Service Award Nomination Form

Nominee (required)

Enter the name of the nominee.

Nominee Cell Phone (required)

Staff or Faculty? (required)

Staff

Faculty

Nominee's Department (required)

Name of Nominator (required)

Nominator's Email address (required)

Nominator's Department

Supporting Documents

Nominator's Overall Letter of Support (required)

One file only.
2 MB limit.
Allowed types: txt rtf pdf doc docx.

Nominee's vita or resume (required)

One file only.
2 MB limit.
Allowed types: txt rtf pdf doc docx.

Other Letters of Support

You may combine multiple letters into a single file, or you may upload a compressed (.zip) folder containing multiple documents.
One file only.
2 MB limit.
Allowed types: txt rtf pdf doc docx zip.