Academic Senate Most Valuable Adjunct Nomination Form
Nominee’s Name: _____________________________________________________________________
Nominee’s Division/Office: ______________________________________________________________
Number of years at PCC: ________________________________________________________________
(Five years minimum): __________________________________________________________________
Nominator’s Name: _________________________________ Division/Office: _________________
Nominator’s Signature: _________________________________________________________________
Nomination forms MUST be accompanied with a statement that justifies the
nomination.
The nomination deadline will be posted at
https://pasadena.edu/governance/academic-senate/awards-events/
SIGNATURES OF TEN FACULTY
(Minimum)
Print Name Signature
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STATEMENT ABOUT NOMINEE
(Please include contributions to the College and Community
Other statements may be included/attached in support of the nominee.)