MEDAL OF MERIT
N
OMINATION 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 Med
al of Merit for full criteria
and documentation requirements
Nominee Information
Name: Email:
Department:
Current
Position:
Campus
Address:
Extension:
Nominator Information
N
ame: Email:
Te
lephone:
Inclusi
ons
Statement of Nomination (250 words max. This statement will appear on the ballot to Senate. Only
typed submissions will be accepted).
Curriculum Vitae
L
etters of Support
Additional Information (optional)
Questions should be directed to:
Genevieve Gauthier, Assistant University Secretary
Email: g.gauthier@exec.uoguelph.ca
Tel: 519-824-4120 ext. 53438
This form, with attachments, should be
submitted to:
Senate Honours and Awards Committee c/o
University Secretariat
4
th
floor, University Centre
Or by email to: univsec@uoguelph.ca
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