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* 1. Name & Department of Nominee

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* 2. Email Address & Phone Number of Nominee

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* 3. Value Represented by Nominee

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* 4. How does the Nominee represent this value? Give detailed accomplishments, achievements, or examples of how the Nominee exemplifies this value.

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* 5. Describe how the Nominee's accomplishments have had a positive impact on the division, department, or College by exemplifying this value.

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* 6. Please provide any additional comments the committee should consider about the Nominee.

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