Shared Values - Individual Nomination

Deadline: March 17, 2023

* = 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. *

If we need additional information, is there another person who can tell us more about this individual?

Nominator First Name *

Nominator Last Name *

Nominator Email *