2015 - 2016 DISTINGUISHED SERVICE AWARD

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Nomination Form 2015 - 2016

Each year an Idaho State University faculty member is selected for the ISU’s Distinguished Service award for faculty members who have made significant contributions in service to the University and society.

You are invited to nominate a member of the faculty who, in your judgment, exemplifies excellence in service. Please consider service attributes only. Elements such as research and teaching are not to be considered for this award.

Nominees should meet the following eligibility standards:

1) Any member of the university faculty currently in his/her third or subsequent year of full-time service at Idaho State University, and

2) He/she must have prospects for and interest in continuing as a member of the University faculty for 2016 - 2017.

BALLOTS ARE DUE BY 5:00 PM, FRIDAY, JANUARY 22, 2016

Nominee's Information:

Name:

Department:

Reason(s) for Nomination:

Please include detailed information on activities in which the faculty member is involved which support eligibility for the awards.

Nominator’s Information:

Name:

Address/Department:

Bengal ID Number:

Email Address:

Phone:

Additional References

Include name and telephone of two additional individuals, who have given their permission to be contacted, to support your nomination of the faculty member you are nominating.

Reference #1:

Name/Organization:

Address:

Email:

Phone:

Reference #2:

Name/Organization:

Address:

Email:

Phone:

BALLOTS ARE DUE BY 5:00 PM FRIDAY, JANUARY 22, 2016

*INCOMPLETE NOMINATION FORMS WILL NOT BE CONSIDERED*

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