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 GPA’s will not be published.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.