Nomination Form - Indiana State University

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Faculty Distinguished Service Award
2016 Call for Nominations
The Faculty Distinguished Service Award recognizes distinguished service outside the classroom to the university,
students, professional organizations, and the community. Excellence in, intensity of, long-term commitment to, and
tangible evidence of the impact of service are the criteria considered in the selection of the awards.
Eligibility: To be selected as a candidate the nominee must be a tenured faculty member who has demonstrated service
while at Indiana State University in the form of: membership in faculty government at the college, school, or university
level; membership on committees within the university; service to student organizations; service to professional
organizations; and service to the community.
Selection Process:


Faculty, students, alumni, administrators, or community members may make nominations for this award.
A committee selected by the university president and chaired by the nonvoting provost and vice president for
academic affairs will make the final selection. The committee may solicit further evidence from others who are
aware of the nominee's service. A maximum of two awards may be presented at spring commencement.
Nomination deadline is November 20, 2015
NOMINATION FORM
FACULTY DISTINGUISHED SERVICE AWARD
Nomination deadline is November 20, 2015
To be selected as a candidate the nominee must be a tenured faculty member who has demonstrated service while at
Indiana State University in the form of: membership in faculty government at the college, school, or university level;
membership on committees within the university; service to student organizations; service to professional
organizations; and service to the community.
Submissions must include:

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a completed Nomination Form
a Statement of Endorsement on why you believe this nominee should be selected as a recipient of the Faculty
Distinguished Service Award, which includes specific examples and/or documents regarding the faculty
member's qualities
Nomination Form
Nominee: ________________________________________________________
Nominee's Department: _____________________________________________
Your status:
____ Student
____ Faculty
____ Administrator
____ Alumnus
____ Community Member
Your Name: ______________________________________________________
Office Address: ___________________________________________________
Phone: _______________________ E-mail:_____________________________
Please attach your statement of endorsement and return to:
Donna Isbell
Parsons 203
Or by email to donna.isbell@indstate.edu or fax to 812-237-4292
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