ACUI Region 6 Awards Candidate Nomination Form
Please note that items denoted by an asterisk (*) are required. Thank you.
1.
Please select the award for your nomination:
-- Please Select --
Norman A. Whitten Award (Student Award)
Bright Idea Award (Student Award)
William E. Rion Award (Staff Award)
Richard Steele Jr. Award (Staff Award)
2.
Name of nominee:
3.
Institution:
4.
Position/Title:
5.
Please provide academic information for student awards.
Major:
Minor:
GPA:
Classification:
6.
Provide a brief statement (2-3 sentences) explaining why the nominee should receive this award.
7.
How has this nominee distinguished themselves through their service to their union and the region?
8.
Please describe how this nominee exemplifies the core values of ACUI.
9.
Will the nominee be attending the Regional Awards Ceremony at the regional conference? (Please note, attendance is suggested but not required. A representative from the Institution may accept the award.)
Yes
No
Unsure
10.
Nominated by:
(note: If the nominator is not a member of the union staff, it is recommended that they notify the Union Director of the nomination.)
Name
Email
Institution
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