Administrative and Professional Faculty
REWARD AND RECOGNITION NOMINATION FORM
1
Administrative and professional faculty who have demonstrated exemplary performance, and whose contributions
have made a significant positive impact on the unit, campus, college or the VCCS, should be acknowledged. Evaluation
plans must include formal provisions for recognizing and rewarding performance that exceeds expectations.
(VCCS Policy: 3.6.1.5)
Name of Faculty Member being Nominated:
EMPLID:
Title:
Date:
Department:
Campus (if applicable):
Nomination Period:
________________ to _______________
Faculty Designation:
Faculty Rank:
Name of Faculty Member’s Supervisor:
Supervisor’s Title:
Nomination Narrative/Justification
Select the category for which this nomination applies (select only one): Reward Recognition
Please outline your rationale for nominating the faculty member for Reward and Recognition, and provide
supporting documentation as appropriate.
Supporting Documentation attached
Nominator’s Signature
Nominator’s Name
EMPLID
Date
Supervisors Signature
Date
For Reward and Recognition Committee USE ONLY
Date Received:
Date Reviewed by Committee:
Supporting Documentation received