Shirley Hendrick Award: Submit a Nomination

Information about your Nominee:

Nominee name*

Nominee job title*

Nominee campus/college/administrative unit

Nominee email*

Nominee phone

Contact information for you:

Submitted by*

Submitter campus/college/administrative unit*

Submitter email*

Submitter phone*

Nominee Accomplishments/Initiatives

Please include a brief description of the accomplishments or initiatives on which the nomination is based.

Support Letters:

Please attach two (2) letters of support (.doc or .pdf), and include the name and email address for each writer.

Attach Support Letter 1*

Writer 1 Name

Writer 1 Email

Attach Support Letter 2*

Writer 2 Name

Writer 2 Email