* Required
Faculty Member Name: *
Department/College: *
For which award are you nominating? *
Harriet K. and Philip Pumerantz Award for Leadership and Service
Based upon the requirements for the Western University Distinguished Teacher of the Year Award, nomination materials should at minimum include:
Provost's Distinguished Scholar of The Year Award
Western University Distinguished Teacher of the Year Award
Describe the achievements that you believe qualify this individual for the award. Nominations must be a minimum of 500 words in length; there is no maximum. Be sure to relate your comments to the award criteria. The most persuasive nomination letters are those that cite specific examples to support general statements. (Note: You can prepare your narrative in advance and cut/paste it here.*
Name: *
Phone: *
Email: *
Status: * Dean Department Chair Faculty Other:
Please upload your supporting documentation below:IMPORTANT NOTICE: This form has a 2MB limit on file uploads. If your file is larger than 2MB please email it directly to Alyssa Rodriguez at: arodriguez@westernu.edu.
Please check your information and submit your form:
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