UCL Professional Services Awards Nomination Form 2016 Please keep this form to a maximum of two sides of A4 paper. Nominations longer than two sides of A4 (in 10pt Calibri) will not be considered. 1) Please give contact details for one member of your nominated team Nominated team contact person’s name Nominated team contact person’s job title Nominated team contact person’s division/department/faculty Nominated team contact person’s contact details (phone/email) Nominator’s name Nominator’s contact details (phone/email) Nominator’s relationship with nominated team Main description of the nominated team’s purpose / area of work (40 words max): I wish to nominate this team for: Collaboration… putting UCL’s goals first by working in partnership Innovation… to be creative and ambitious in all our endeavours Excellent service… putting UCL’s goals and customer needs at the heart of our endeavour Mutual respect… to maintain an inclusive environment in which all colleagues can flourish Empowered… confident, and enabling (right click on the box you want to tick, select ‘properties’, and then select default value ‘checked’; tick only one box) 2) Please describe the activities for which you wish to nominate this team 3) Which parts of UCL (e.g. which divisions, departments, faculties) were involved in these activities? 4) How does this team’s work stand out in exemplifying the chosen value? Please return completed forms to professionalservices@ucl.ac.uk by 5pm, Friday 27th November 2015.