Fillable Nomination Form 12-13 CALIFORNIA STATE UNIVERSITY, FRESNO

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Nomination Form 12-13 CALIFORNIA STATE UNIVERSITY, FRESNO

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CALIFORNIA STATE UNIVERSITY, FRESNO
NOMINATION FOR THE 2012 - 2013
PROVOST’S AWARDS
Please provide a nomination letter of the nominee’s strengths that qualify him/her for this award.
Please be very specific. Limit your narrative to no more than two single spaced pages.
NOMINEE _____________________________________________________________________
RANK:
FULL PROFESSOR
ASSOCIATE PROFESSOR
ASSISTANT PROFESSOR
_________________________________________________________________________________
Department
College / School
CATEGORY (Check category applicable - please select only one)
EXCELLENCE IN TEACHING
TECHNOLOGY IN EDUCATION
GRADUATE TEACHING AND MENTORING
FACULTY SERVICE
DISTINGUISHED ACHIEVEMENT IN RESEARCH, SCHOLARSHIP OR CREATIVE
ACCOMPLISHMENT
PROMISING NEW FACULTY
DISTINGUISHED ACHIEVEMENT IN ASSESSMENT OF LEARNING
I ACCEPT THIS NOMINATION AND AGREE TO GIVE A PRESENTATION AS PART OF THE
PROVOST’S AWARDS LECTURE SERIES 2013-2014. (Only one nomination and one category per person will be
accepted.)
__________________________________________ __________________________
Nominee’s signature Date
Note to Nominee: We ask that you please provide a self statement / narrative on your accomplishments
related to the category of your nomination (no more than two pages) and include your current curriculum vita.
INDIVIDUAL SUBMITTING NOMINATION _________________________________________
Name (Please type or print)
________________________________________ __________________________________
Phone E-mail address
STUDENT
FACULTY
STAFF
ADMINISTRATOR
DEADLINE: Completed nominations should be submitted to the Office of the Provost, Madden Library,
Room 4116, M/S ML 54, no later than 5:00 p.m., Friday, April 5, 2013.
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Nomination Form 12-13 CALIFORNIA STATE UNIVERSITY, FRESNO

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Completed 17 November 2019

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