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Eunice A. Dell Award for Making a Difference Nomination Form

Nominee Information:
Name
Position / Job Title
Department
Email Address
Submitted by (Your Information):
Name
Position / Job Title
Department
Email Address
Describe the activities and actions the nominee has undertaken to truly make a difference for students, colleagues, the university and /or the community.

Selection is based on information provided in your narrative. Nominators must specify which of the 5 areas the nominee has made a difference (Nurturing diversity and respect; Promoting service, activism and engagement; Modeling compassion for others; Providing access and opportunity; Leading the way).

You may include information on one or more categories, but must provide specific examples within each category of the service or activities that made a difference.
Check here if you do not want the nominee to know the name of the person/people submitting this nomination.

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