Distinguished Teaching Award Nomination Form

Nominee Information

I nominate *

Department *

Excellence In Teaching

Please describe with specific examples.

example of excellence *

Concern For Students

Cite in-class and/or out-of-class examples

examples of concern for students *

Please explain the extent to which the nominee challenges students

examples of challenging students *

Please explain how the nominee has impacted your life

examples of impacting your life *

Personal Information

Your name *

Major *

Telephone number *

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Academic Senate