Emeritus/a Nomination Form
Westfield State University
Nominee:
Nominator:
Date:
Base Criteria:
[ ] Nominee is retired or resigned from full-time service at Westfield State University.
[ ] Nominee is not employed as a member of the full time faculty or administration of any other school,
college or university.
[ ] Nominee served in a full-time capacity at WSU for at least 10 years.
[ ] Substantive, sustained achievement at WSU in teaching.
Check all that apply to your nomination. Please provide a
detailed line of reasoning.
Explanation:
[ ] Substantive, sustained achievement at WSU in advising.
Explanation:
[ ] Substantive, sustained achievement at WSU in scholarship.
Explanation:
[ ] Substantive, sustained achievement in service to the discipline.
Explanation:
[ ] Substantive, sustained achievement in service to the University.
Explanation:
[ ] Substantive, sustained achievement in service to the community.
Explanation:
After completing the above, print this form, sign, and send to:
Office of Academic Affairs, Attn: Vice President, Academic Affairs.
It may be submitted with an electronic signature to lkonig@westfield.ma.edu
Signature:
Office Use:
Received: ___________
_____ updated/current
Notification to Nominee: ___________ Resume attached: _____last available