100-0068.1

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CAMPUS OPERATIONS STANDARD PRACTICE
CAMPUS OPERATIONS
AWARD for EXCELLENCE
Nomination Form
INSTRUCTION NUMBER:
100-0068.1
Nominee Information
Nominee name:
Nominee department/office:
Nominee campus address:
Nominee phone:
Nominee email address:
Nominee is:
Faculty
Staff (SPA or CSS)
Category in which nominated:
Service
Administrator
Leadership
Ambition
Spirit
Nominator Information
Nominator name:
Nominator department/office:
Nominator address:
Nominator phone:
Nominator email address:
Nominator is:
Faculty
Staff
Administrator
Student
Alumnus
Supervisor of Nominee Information
Is Supervisor of Nominee the Nominator:
YES
NO – complete the following:
Supervisor of Nominee name:
Supervisor of Nominee department/office:
Supervisor of Nominee address:
Supervisor of Nominee phone:
Supervisor of Nominee email address:
Supervisor of Nominee is:
Faculty
Staff
Administrator
Student
Alumnus
Director’s Signature
(Verifying nominee meets eligibility criteria):
PREPARED BY: HRB
APPROVED BY: WEB
DATE OF ISSUE: 01/14/14
SUPERSEDES: 01/29/08
PAGE: 1 of 2
ORIGINAL ISSUE: 04/11/05
CAMPUS OPERATIONS STANDARD PRACTICE
CAMPUS OPERATIONS
AWARD for EXCELLENCE
Nomination Form
INSTRUCTION NUMBER:
100-0068.1
Letter of Nomination
Please use the space below to briefly outline the nominee’s activities as they relate to the award
category selected above. Be sure to include information that would assist the Selection
Committee in distinguishing this nominee from the rest (use reverse side, attach additional pages
if necessary or if completing electronically page will wrap automatically):
PREPARED BY: HRB
APPROVED BY: WEB
DATE OF ISSUE: 01/14/14
SUPERSEDES: 01/29/08
PAGE: 2 of 2
ORIGINAL ISSUE: 04/11/05
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