Honors Honoree Form
_____ Senior Vice Chancellor’s Award
_____ Dean’s Award
_____ Undergraduate Major Award
Each student honored from his/her major becomes automatically eligible for the Dean’s Award. An official
letter from the Dean must accompany the form for the recipient to be considered for the Senior Vice
Chancellor’s Award. The student’s current cumulative GPA through fall 2014 must be a 3.3 or above to be
eligible. GPA’s will not be published.
Please note: In order to qualify for the Senior Vice Chancellor’s award, the dean’s award winner must
be a graduating senior (completing degree requirements in December 2014 or May 2015)
Honoree Name: ________________________________________________________________
First Middle Initial (required)
Last
Phonetic pronunciation: __________________________________________________________
Student ID#: _________________
College: ____________________________
Major/Track: ________________________
GPA: ____________________________
Current Local Address: __________________________________Zip_____________________
Local Phone Number: ___________________________________________________________
Hometown Address: ____________________________________Zip______________________
Expected Graduation Date: ________________________
Nominator Signature: _________________________
FOR YOUR DEPARTMENT CHAIRPERSON OR SCHOOL DIRECTOR AND DEAN
Attach your reasons for selecting the above student with additional information (public record, examples of
campus or other service, activity letters of support, etc.) Please make sure your Dean has signed this form
before returning. No forms will be accepted without a signature from your dean.
Chairperson/school director signature________________________________
Dean’s signature ______________________________________
The completed form (including signatures) must be returned to Christine Hoffman (EAB 202) by Friday,
January 30, 2015.