Nomination Form - Staff/Administrator

Staff/Administrator Excellence (Leadership/Service) Award

Eligibility Criteria:

  • Staff/Administrator is a full or part-time employee of URI.
  • Staff makes a significant and positive contribution and works to build a supportive and inclusive campus and/or community across the boundaries of culture, identity, and discipline.
***Important Information for Nominators***


Please fill out this form COMPLETELY for the following reasons:
  1. The information in this form serves as the MAIN source of information about the Nominee
  2. The Selection Committee members base their decisions on the information in this form.
  3. A supplemental sheet is sent to the Nominee to gain more information BUT it is NOT mandatory that Nominees fill this form out.
  4. We STRONGLY encourage nominators to get as much information from Nominees or other sources familiar with the Nominee so that a complete and sufficient nomination is submitted.
  5. The number of nominations that a nominee receives does not affect the nominee's candidacy. One nomination is sufficient.

Details of nominee:
Nominee's Name:
Nominee's Address
Nominee's E-mail
Nominee's Phone Number


Nominee's Organization/Group Affiliations (4)  
1.

2.

3.

4.

Details of nominator:
Nominator's Name
Nominator's E-mail
Nominator's Campus Phone
Nominator's Position Student
Staff
Faculty

Why did you choose to nominate this person?


Additional Questions:

Please describe the emerging, sustained, or lifetime contributions of the nominee by responding to the questions below. By combining academic excellence and multicultural leadership and service, how has the nominee contributed to the advancement of equity in accord with the criteria below?

  1. Initiating Change

    How has the nominee improved the quality of life through cultural, artistic, organizational, departmental, programmatic, or institutional diversity and excellence initiatives?


  2. Incorporating Diverse Perspectives

    How has the nominee recognized and managed the strengths and differences in others while understanding multiple perspectives, values, belief, etc.



  3. Creating a Safe Environment

    How has the nominee encouraged others so that they can be themselves, created an environment accepting of all individuals, and supported or demonstrated change to maintain a safe environment?




  4. Building Relationships

    How has the nominee developed connections within and beyond the university to achieve diversity goals?