Shared Values - Individual Nomination

Deadline: February 23, 2024

* = Required Field

Nominee First Name *

Nominee Last Name *

Nominee Department *

Nominee Office Phone Number *

Nominee Email *

Shared Value * (Select ONLY One) Collaboration Diversity Integrity Equity Excellence

How does this individual demonstrate the Shared Value? Give specific, current examples and enough detail to help the committee better understand this person and how their actions exemplify the value. *

Nominator First Name *

Nominator Last Name *

Nominator Email *

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Shared Values Nomination Form for Individuals