GRAND VALLEY STATE UNIVERSITY College of Community and Public Service Outstanding Contribution in a Discipline Award NOTE: Faculty member must be tenured or tenure-track. Nomination Form (This form is due by April 1) The undersigned academic unit nominates _______________________________________________________ (Name) for the CCPS Outstanding Contribution in a Discipline Award. Nominating Academic Unit: __________________________________________________________________ Unit Head: _______________________________________________ (Signature) Date: ________________________ The CCPS Outstanding Contribution in a Discipline Award is specifically separate from awards granted for outstanding teaching, research, or other accomplishments. This award is based on the following criteria: Clearly demonstrated research, scholarly, or creative accomplishment or service through professional organizations Work that is documented as exceptional by professional peers or public acclaim according to one of the following specific criteria: o publication in professional media o professional awards, prizes, or honors o unsolicited reviews by critics or peers o support received through competitive applications to funding agencies or impact on others in the discipline This nomination must be supported by the signatures of three peers. These signatures may be from within or outside Grand Valley State University. Supporting Signatures Print Name Signature Academic Unit/Institution* *If the individual is from outside of Grand Valley, please include that information. It is the responsibility of the unit head and the nominator to work together with the nominee to assemble the following materials in support of the nomination and to submit it to the College Advisory Committee by April 1.