Excellence Awards Nomination Form

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					                                       EASTERN CONNECTICUT STATE UNIVERSITY

                                    EXCELLENCE AWARDS NOMINATION FORM

Criteria for Eligibility

1.      A nominee must have been employed at ECSU for a minimum of three years.
2.      An individual must receive at least two separate nominations.
3.      Previous recipients of an Excellence award become eligible for consideration for the same award after five years.

 Please indicate the type of award (Teaching, Creative/Scholarly Activity, Service to the University) appropriate for your

 Nominee's Name:

 Nominee's Department:

 Employment Status (full-time, part-       Classification (teaching faculty, administrative faculty; classified staff, unclassified
 time):                                    staff or administrator):

 Nominator's Name:

 Nominator's Address:

 Nominator's Phone # and E-Mail Address:

Please attach the following Material (to be Submitted by Nominators):

Teaching Award:
For the Teaching Award, nominators are to submit a nomination form, letter(s) of support and an up-to-date curriculum vitae.
Other supporting materials may be included.

Creative/Scholarly Award:
For the Creative/Scholarly Activity award, nominators are to submit a completed nomination form, letter(s) of support and an up-
to-date curriculum vitae. Evidence of the nominee's accomplishments during the past three (3) years should also be included.
Service Award:
For the Service Award, nominators are to submit a completed nomination form and letter(s) of support.

               Return completed nomination form and all attachments, plus one (1) copy, by March 5, 2010 to:
                                  Dr. Rhona C. Free, Vice President for Academic Affairs
                                           Eastern Connecticut State University
                                        83 Windham Street, Willimantic, CT 06226

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