COLLEGE OF COMMUNICATION & INFORMATION DISTINGUISHED SERVICE AWARD NOMINATION Nominating student: Please print and complete this form in its entirety. Incomplete forms may not be considered. Your Name _________________________________________ Banner ID ________________________ Nominee (School or College faculty or staff member) ___________________________________________________ CCI School or College ___________________________________________________________________ The nominee must be a full-time or part-time faculty or staff member of a CCI school or the college office and NOT a graduate assistant. This award recognizes those faculty and staff members whose outstanding performance contributes to or enhances the mission of the School(s) and/or College and helps create a more positive environment for students and fellow employees. Turn in to: Dean’s Office, College of Communication and Information, Rm. 131 Moulton Hall, Attn: Outstanding Service Awards or e-mail submissions to ccikent@kent.edu, Subject: Distinguished Service Awards --------------------------------------------------------------------------------------------------------------------The selection by the College Advisory Council will be based on the quality of nominations, not on the number of nominations received; this award is for service excellence, not popularity. Please be honest and accurate. Give specific examples where possible. All nominations will be held in the strictest confidence. To ensure fairness, evaluators will not see the names of the nominees. To help in this process, please list the nominee’s name only at the top of this form. Within the body of the nomination, be non-specific (i.e., he, she, Prof. X, Mr. X, Ms. X). Thank you! Please answer ALL of the following questions. Give concrete examples to support your answers when necessary. 1. Briefly describe how the nominee has displayed leadership in improving a CCI school or the college office. 2. Please share an example that portrays the nominee's passion, dedication and commitment to service to the school(s) and/or college. 3. How has the nominee built partnerships or mentored others in the field? 4. Rate the nominee’s commitment to service in the school(s) and/or college (1 being the lowest, 5 the highest). 1 2 3 4 5 5. Rate the nominee’s ability to engage others in service to the school(s) and/or college (1 being the lowest, 5 the highest). 1 2 3 4 5 6. Rate the nominee’s ability to support service of others in the school(s) and/or college (1 being the lowest, 5 the highest). 1 2 3 4 7. Additional comments: Thank you! ------------------------------------------------------------------- 5