Strictly confidential and restricted
Honorary Degrees Nomination Form
Proposer details
Name
PI or staff no.
(Mandatory Field)
Phone number
Email address
Address/Dept.
Explain any relationship between the proposer and the nominee.
Please write none if there is no relationship.
Date
Nominee details
Title
Date of birth
Forename
Email address
Surname
Phone number
Occupation
Address
Type of award (Doctor or Master)
Nomination Criteria
Please indicate one criterion – you must select the one criterion that reflects the primary reason
for your nomination:
Services to the University
Services to the educationally underprivileged
Work in areas of special educational concern to the University
Academic and scholarly distinction
Public Services
Services to the Arts and Sciences
Exceptional contribution to education and culture
Exceptionally innovative and socially responsible business developments
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Nomination details (please limit your nomination to 500 words and make sure to explain
how your nominee’s achievements ‘fit’ with the OU mission)
Please summarise your nomination in one or two sentences following on from the phrase below:
‘I have nominated this person for this award as a result of the exceptional contribution they have
made to…
.’
This form should be marked 'Strictly confidential and restricted' and emailed to:
Honorary-Nominations@open.ac.uk. The annual cut-off date is the end of September. If any
further information is required, you may be contacted by the Honorary Degrees Committee
Secretariat.
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Equality and Diversity...making it happen
Honorary Degree Nominations - Equality of Opportunity
Monitoring
It is part of the University’s equality and diversity strategy to collect and monitor age, disability,
ethnicity, gender, religion and sexual orientation information. We do this so we can ensure that
the University is providing opportunities to all groups of people in society, meeting our mission of
being ‘open to people’ and living up to our inclusive values.
Providing this information will enable us to verify if the nominations we receive represent an
appropriately diverse group or whether we should take additional positive action measures to
increase nominations from under-represented groups.
We realise that you may not know all of the information that we are asking for and that you are
not able to ask the person you are nominating in case you inadvertently disclose the fact that
they are being nominated.
We would like you to take a ‘best guess’ or if you are uncertain or prefer not to do this for any of
the categories, to leave responses blank.
Only the Secretary to the Honorary Degrees Committee and a limited number of people working
with the Secretary will have access to the information you provide on this form and it will only be
used for equality of opportunity monitoring purposes. The Committee will not have sight of this
information in making judgements or decisions about the merits of nominations.
Please return this completed form along with the nomination form. It will be separated on receipt.
Thank you.
Full name of person being nominated:
Age
Which age band does the person fall into? Please tick one box.
25 and under
26-35
36-45
46-55
56-65
66 and over
Sex/Gender
What is the sex/gender of the person?
Female
Male
Other (e.g. intersex)
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Disability
Does the person have a disability?
Yes
No
Under the Disability Discrimination Act, a person has a disability if he or she has a physical or
mental impairment, which has a substantial and long-term adverse effect on his or her ability to
carry out normal day-to-day activities. Substantial is defined as ‘more than minor or trivial’ and
long-term is defined as ‘having lasted, or is likely to last, more than 12 months’. Impairments
include sensory impairments such as those affecting sight or hearing, mental health difficulties,
specific learning difficulties such as dyslexia, restricted mobility or manual skills, severe
disfigurements and people living with HIV, cancer or multiple sclerosis.
Ethnicity
Which grouping best describes the ethnic or cultural background of the person? Please tick one
box.
Asian or Asian British
Black or Black British
Mixed ethnicity
White British/Irish/Scottish/Welsh/English
White Other
Other ethnic group
Religion or belief
Does the person have a religion or belief?
No religion or belief
Buddhist
Christian
Hindu
Jewish
Muslim
Sikh
Spiritual
Other religion or belief
Sexual orientation
What is the sexual orientation of the person?
Towards people of the same sex (Lesbian/Gay)
Towards people of more than one sex (Bisexual)
Towards people of a different sex (Heterosexual)
Other (e.g. asexual)
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