Nominee

Student Club/Organization

Nominee Telephone

Nominee Email

Nominated by

Your Telephone

Your Email

Nomination Rationale

Describe how the advisor: Has provided advisement and support to the organization throughout the year; has been visible and integral in the success of the organization; is a role model in terms of club advisement.

Provide examples that demonstrate how the advisor: Contributes to the growth and development of individual students in the organization; assists students through leadership development

If not already addressed in the above statements, include examples of how the advisor contributes to the campus and/or the surrounding community.

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