Community Service Award Nomination Form

Please complete the following form to nominate an outstanding University staff member for a Community Service Award. Please provide as much information as you are able to within the 100 word allowance permitted under each section.

For consideration, your candidate must meet all required criteria and have two recommendations, in addition to this nomination. Nominees without at least two recommendations will not be considered. As many as four (4) recommendation forms can be submitted for each nominee.

Nominee Information

First Name

Last Name

Nominee Email

Department

Job Title

Employee ID(if known)

Date of Employment

Supervisor Name

Nomination Submitted by

First Name

Last Name

Title or Position

Department

Phone

Your Email
1. Briefly describe the nominee’s personal traits (such as service orientation, enthusiasm, reliability, creativity, and initiative).

<br abp="3644"/> <br abp="3645"/> <br abp="3646"/> 2. How has the nominee demonstrated service to the University? Please list specific events and organizations they have participated in, and the roles taken.<br abp="3647"/> <textarea abp="3648" cols="51" name="Nominee_Personal_Traits" rows="9"/><br abp="3649"/> <br abp="3650"/> <br abp="3651"/> 3. How has the nominee supported an environment of collaboration and inclusiveness at the University and/or in the community?<br abp="3652"/> <textarea abp="3653" cols="51" name="Nominee_Service_Concepts" rows="9"/><br abp="3654"/> <br abp="3655"/> <br abp="3656"/> 4. How has this nominee improved community relationships and connections or developed new community partnerships?<br abp="3657"/> <textarea abp="3658" cols="51" name="Improvement_Initiatives" rows="9"/><br abp="3659"/> <br abp="3660"/> 5. In what other ways has this nominee contributed to the University and/or community?<br abp="3657"/> <textarea abp="3658" cols="51" name="Contributions" rows="9"/><br abp="3659"/><br abp="3661"/> You may now send emails to up to four persons who can submit recommendations on behalf of your nominee. Recommendations improve your nominee's chances of success.
<p abp="3678"><label abp="3679" for="First_Email">First Email</label> <input abp="3680" id="First_Email" name="First_Email" size="16" type="text"/><label abp="3681" for="First_Name">Name</label> <input abp="3682" id="First_Name" name="First_Name" size="16" type="text"/></p>
<p abp="3683"><label abp="3684" for="Second_Email">Second Email</label> <input abp="3685" id="Second_Email" name="Second_Email" size="16" type="text"/><label abp="3686" for="Second_Name">Name</label> <input abp="3687" id="Second_Name" name="Second_Name" size="16" type="text"/></p>
<p abp="3688"><label abp="3689" for="Third_Email">Third Email</label> <input abp="3690" id="Third_Email" name="Third_Email" size="16" type="text"/><label abp="3691" for="Third_Name">Name</label> <input abp="3692" id="Third_Name" name="Third_Name" size="16" type="text"/></p>
<p abp="3693"><label abp="3694" for="Fourth_Email">Fourth Email</label> <input abp="3695" id="Fourth_Email" name="Fourth_Email" size="16" type="text"/><label abp="3696" for="Fourth_Name">Name</label> <input abp="3697" id="Fourth_Name" name="Fourth_Name" size="16" type="text"/></p>
<input abp="3698" type="submit" value="Submit Nomination Now"/></form>
<h2 abp="3699"> </h2>

Human Resources

Human Resources

Community Service Award Nomination Form