Distinguished Staff and Faculty Service Awards Nomination Form

Nominee Name

Nominee Job Title

Nominee College/Department

Number of Years at CSU

Classification

Classified Staff

Professional Staff

Student

Nominating Award

New Viking

Exemplary Campus Service

Outstanding Achievement and Performance

President's Leadership

Supporting Documentation (letter of support)

One file only.
100 MB limit.
Allowed types: gif jpg jpeg png bmp eps tif pict psd txt rtf html odf pdf doc docx ppt pptx xls xlsx xml avi mov mp3 mp4 ogg wav bz2 dmg gz jar rar sit svg tar zip.

Nominator Name

Nominator's Job Title

Nominator's College / Department

Nominator's Campus Phone Number

Nominator's Email Address

Relationship to Nominee

Supervisor

University Colleague