NOMINATION FORM
                                                        CHANCELLOR’S AWARD FOR EXCELLENCE IN
                                                                          CLASSIFIED SERVICE

Please type or print: 

NOMINEE

NAME

 

 

TITLE                                                                                                YEARS OF SERVICE IN TITLE

 

 

DEPARTMENT

 

 

BUSINESS PHONE NUMBER

 

 

 

SUBMITTED BY

NAME

 

 

TITLE

 

 

DEPARTMENT

 

 

BUSINESS PHONE NUMBER

 

 

 

I.          Please attach a narrative statement (less than 500 words) in support of this nominee. 

II.        List up to five examples which best demonstrate how the nominee excels in their present position:

 

1.

 

 

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4.

 

 

5.

 

 

  

III.       List up to five examples which show how this nominee demonstrates flexibility/ creativity on campus.

 

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5.

 

 

  

IV.      List up to five examples supporting how this nominee demonstrates exemplary customer service.

 

1.

 

 

2.

 

 

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5.