Nominee Testimonial Statement 2010 Form - DOC

							                Nominee Testimonial Statement 2012 Form

The nomination deadline is 4 p.m. Monday, November 14, 2011. All forms must be submitted
electronically to tommieaward@stthomas.edu. If you have any questions, please contact the Tommie
Award Coordinator at tommieaward@stthomas.edu. No late nominations will be accepted.

General Information (Must be typed)

Date:

Name of nominee:

Name of person providing testimonial statement (Your Name):

Your relationship to nominee (How do you know the nominee?):

[Click on box to check]
Are you a:
   Student at UST?
   Staff member at UST?
   Faculty member or instructor at UST?


Permission to publish this testimonial (including this page) on the UST Tommie Award Web site

Testimonials will be available to voters on the UST Tommie Award Web site. UST community members will
need to login with their username and password to view the UST Tommie Award Web site.

   [Click on box to check] By checking this box, I hereby give the UST Division of Student Affairs and
Tommie Award Coordinator permission to post this testimonial on the UST Tommie Award Web site
between November 2011 and May 2012.

Testimonial (Must be typed)

In 500 words or less, describe how the nominee best represents the ideals of the Tommie Award through: a)
scholarship b) leadership, and c) campus involvement. **NOTE: If a testimonial statement is greater than
500 words, only the first 500 words will be shared with voters. All testimonials must be typed on this
form. Do not include a separate document or use letterhead.

Type testimonial in this GREY BOX. Click on the box to begin typing: