Name of Nominee

Nominee Email

Nominee Telephone

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Nomination Rationale

Provide examples of the nominee’s engagement in academic, organizational, and/or community work that exemplifies their commitment to diversity, equity, inclusion, and belonging.

Describe how the nominee actively contributes to Penn State Mont Alto and community life in ways that fuel positive changes and promote diversity, equity, inclusion, and belonging on campus and/or in its surrounding communities.

Share examples on how the nominee cultivates meaningful relationships with people across the university that support the work of diversity, equity, inclusion, and belonging. These kinds of relationships could include (but are not limited to): Welcoming/Engaging/Mentoring peers and students contributing to them feeling included and strengthening their academic success; Facilitating campus dialogues and bringing groups together across campus; and engaging in service work at the university and its surrounding communities.

If not already described, please address the following questions in the space below: Why is the nominee deserving of this award? How has the nominee promoted diversity, equity, inclusion, and belonging? How has the nominee positively impacted students and peers? How has the nominee enhanced Penn State Mont Alto and surrounding communities

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