MEDAL OF MERIT
NOMINATION FORM
*Note: The need for confidentiality is paramount. Please do not inform the nominee about his/her candidacy.
1. Enter information in the fields below
2. To fill form and save, select Save As under File tab
3. Nominators should refer to Guidelines for the Awarding of the Medal of Merit
1
for full criteria and
documentation requirements
Nominee Information
Name:
Email:
Department:
Current
Position:
Campus
Address:
Extension:
Nominator Information
Name:
Email:
Telephone:
Inclusions
Nomination Form Available on the University Secretariat Website
2
Citation or Statement of Nomination - this statement should summarize the nominee’s
contributions and their impact on teaching and learning (250 words max. This statement will
appear on the ballot to Senate. Only typed submissions will be accepted)
Resume or Curriculum Vitae (required)
Letters of Support (optional but encouraged) - a minimum of three and no more than five letters of
support must be submitted from individuals knowledgeable about the nominee’s contributions and
related impact
Additional Information (optional)
This form, with attachments, should be submitted via email at univsec@uoguelph.ca, or in person to:
Senate Honours and Awards Committee
c/o University Secretariat
4
th
Floor, University Centre
Questions can be directed to Joanne Emeneau, Associate University Secretary, via email at
joanne.emeneau@exec.uoguelph.ca or telephone at 519-824-4120 ext. 56758
1
URL: https://www.uoguelph.ca/secretariat/office-services/senate/university-awards-and-honours/medal-merit/guidelines-
awarding-medal-merit
2
URL: https://www.uoguelph.ca/secretariat/office-services/senate/university-awards-and-honours/medal-merit
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