Review Panel Nomination Form
Please complete for each proposed off campus nominee
Academic Program Being Reviewed: _______________________________________________
Name of Nominee: _____________________________________________________________
Campus: _____________________________________________________________________
Title or Rank: _________________________________________________________________
Current Position: _______________________________________________________________
Address: _____________________________________________________________________
City: _____________________________________ State: _______ Zip: _________________
Send completed Undergraduate form to: dennisn@csufresno.edu and lsuzuki@csufresno.edu
Send completed Graduate form to : sandraw@csufresno.edu and lsuzuki@csufresno.edu