Fillable Effective Innovation Form Form Number: * (Durham Technical Community College)

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Effective Innovation Form Form Number: * (Durham Technical Community College)

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Effective Innovation Form Form Number: _______*
Submit one proposal per form. (*The Committee will assign
Please type or print clearly. Complete all blanks. the form number.)
Explain your innovative approach or solution. (Feel free to attach examples, documentation,
photographs, sketches, reports, research, or any other information, which may help communicate or
support your innovative approach or solution.)
What need at Durham Tech does this innovative approach or solution address?
Explain how you arrived at this innovative approach or solution. Also, list any books or
resources that you consulted.
How does or will this innovative approach or solution benefit Durham Tech?
How can the effectiveness of this innovative approach or solution be measured?
The following signatures only indicate that this form has been received by the committee and/or the
President.
Committee Chair: ____________________ Date: ___________
President: __________________________ Date: ___________
Form number: ___________
The following information will only be seen by the Committee Chair and the President. Signatures
are required by all individuals seeking recognition.
Employee signature _________________________ Dept. ___________________________
Telephone extension: ________________________ Date submitted: ___________________
Other employees’ signatures: ______________________________
______________________________
______________________________
______________________________
______________________________
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Effective Innovation Form Form Number: * (Durham Technical Community College)

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Completed 1 October 2020

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