2016 Bloomsburg University Women’s Recognition Nomination Form
Join us in recognizing the contributions of Bloomsburg University Women in celebration of National
Women’s History Month. The 2016 National Women’s History Month theme is “Working to Create a
More Perfect Union: Honoring Women in Public Service and Government.” Please nominate a
Bloomsburg University woman (or women) who contribute in positive ways to the university community
though mentoring, service, leadership, and/or scholarship, and women who are excellent role models for
colleagues and students.
Faculty, staff, and student nominations are encouraged.
Please email the completed nomination form to Denise Chaytor-Zugarek
(dchaytor@bloomu.edu) or bring a hard copy to 268 SSC by Friday, March 4th, 2016 @ 4pm.
Please complete all information in the following areas.
Nominee:
Position at BU:
Phone:
Email:
Please include a detailed explanation for this nomination (You may use as much space as necessary):
Submitted by:
Phone:
Email:
For more information about this year’s National Women’s History Month theme and honorees,
go to http://www.nwhp.org/.