STUEY Nomination Form

Transcription

1 STUEY Nomination Form Disclaimer **PRINT THIS PAGE FOR YOUR CONVENIENCE** NOTE: If you are a current orgsync user, please select "log in" at the top of this page before proceeding as it will allow you the capability to save and return. Once you are logged in, select "Next" to begin your nomination. If you do not have an orgsync account, please feel free to create one by selecting "Register" at the top this page to create your account for the Nova Southeastern University Main portal. You will be required to use your NSU address. Once you have created your account, please access the "STUEY Nomination Form" by clicking the forms icon on the left hand side underneath "Student Activities". After you have been directed to this page, scroll down to "STUEY Nomination Form" to begin your nomination. ***All nominations must be submitted in English*** IMPORTANT: If you choose not to create an orgsync account, you can still proceed by selecting "Next". Although this will allow you to complete a nomination form, you will not have the capability to save and return to your submission. **Please note that this form does allow you to copy and paste your responses** Thank You! Special Events and Projects, Office of Student Activities Group or Individual [Required] Are you nominating a group or individual? [ ] Group [ ] Individual Group Nomination [Required] Name of Nominee Provide the name of the organization/business/team. [Required] Primary Contact Provide the name of the individual who will be responsible for serving as the direct contact for this group. [Required] Primary Contact s Address [Required] Primary Contact s Address - name@myschool.edu Page 1 of 11 STUEY Nomination Form

2 [Required] Primary Contact s Phone Number - must be digits long and may include only numbers, hyphens, and spaces. [Required] What is the award category the group is being nominated for? - must select a value. [ ] Student Government of the Year [ ] Graduate Organization of the Year [ ] Undergraduate Organization of the Year [ ] Athletic Team of the Year [ ] Corporate Partner of the Year Student Government of the Year [Required] What College is the nominee from? NOTE: To qualify for this category, the nominee must be recognized as an official student government associate. [ ] Regional Campus: Miami-Kendall [ ] Undergraduate Student Government Graduate Organization of the Year [Required] Please verify that this nominee is a registered graduate student organization by checking the box below. NOTE: This does not include graduate student government associations. [ ] Registered Graduate Organization [Required] What College is the nominee from? Page 2 of 11 STUEY Nomination Form

3 [ ] Regional Campus: Miami-Kendall [ ] Regional Campus:Orlando [ ] Regional Campus:Palm Beach [ ] Regional Campus:Tampa Undergraduate Organization of the Year [Required] Please verify that this nominee is a registered undergraduate student organization by checking the box below. NOTE: This does not include Undergraduate Student Government Association. [ ] Registered Undergraduate Club or Student Organization [Required] Which campus is this undergraduate student organization located? [ ] Main Campus: Fort Lauderdale, FL [ ] Regional Campus: Miami-Kendall Athletic Team of the Year [Required] Which athletic team are you nominating? Only teams that are a member of the NSU Athletic Department will be considered for nomination. Corporate Partner of the Year What is the name of the business/organization being nominated? Please nominate businesses/organizations that hold a corporate partnership with NSU. Individual Nomination [Required] Nominee's Name [Required] Nominee's Preferred Address [Required] Nominee's Preferred Phone Number - must be digits long and may include only numbers, hyphens, and spaces. Page 3 of 11 STUEY Nomination Form

4 Nominee's Alternate Phone Number - must be digits long and may include only numbers, hyphens, and spaces. [Required] Nominee's Preferred Address - name@myschool.edu [Required] What is the award category the individual is being nominated for? [ ] Student of the Year [ ] Executive of the Year [ ] Administrator of the Year [ ] Staff Person of the Year [ ] Co-Curricular Advisor of the Year [ ] Professor of the Year [ ] Alumnus of the Year [ ] Regional Campus Student of the Year Student of the Year [Required] Which College is the nominee from? For students from the regional campuses, please nominate them under the "Regional Campus Student of the Year" Category. [ ] University School Executive of the Year [Required] What is the title of the nominee? Please note that we reserve the right to change award category selection based upon the correct designation for the nominee s job title/position. [ ] Assistant Dean [ ] Assistant Vice President [ ] Associate Dean [ ] Associate Provost [ ] Associate Vice President [ ] Chancellor [ ] Chief Executive Officer (CEO) [ ] Chief Financial Officer (CFO) [ ] Chief Operating Officer (COO) [ ] Dean [ ] Executive Associate Dean [ ] Executive Dean [ ] Executive Director [ ] Executive Officer [ ] Executive Vice President [ ] Legal Counselor [ ] President [ ] Provost [ ] Vice President [ ] Chief Technology Officer Page 4 of 11 STUEY Nomination Form

5 [Required] Which College or Department is the nominee from? [ ] Athletics [ ] Budget Administration [ ] Business Services [ ] College of Undergraduate Studies [ ] Division of Student Affairs [ ] Enrollment and Student Services [ ] Executive Office [ ] Facilities Management [ ] Human Resources Department [ ] Institutional Advancement and Community Relations [ ] Institutional Effectiveness [ ] NSU Libraries [ ] Office of Innovation and Information Technologies/Center for Student Media [ ] Regional Campus: Miami-Kendall Excecutive of the Year Which library is the nominee from? [ ] Alvin Sherman Library [ ] Health Professions Division Library [ ] Panza Maurer Law Library [ ] Oceanography Library Administrator of the Year [Required] What is the title of the nominee? Please note that we reserve the right to change award category selection based upon the correct designation for the nominee s job title/position. [ ] Administrator [ ] Assistant Director [ ] Assistant Coach [ ] Assistant Manager [ ] Associate Director [ ] Deputy Director [ ] Director [ ] Head Coach [ ] Manager [ ] Supervisor [Required] Which College or Department is the nominee from? Page 5 of 11 STUEY Nomination Form

6 [ ] Athletics [ ] Budget Administration [ ] Business Services [ ] College of Undergraduate Studies [ ] Division of Student Affairs [ ] Enrollment and Student Services [ ] Executive Office [ ] Facilities Management [ ] Human Resources Department [ ] Institutional Advancement and Community Relations [ ] Institutional Effectiveness [ ] NSU Libraries [ ] Office of Innovation and Information Technology/Center for Media Services [ ] Regional Campus:Miami-Kendall Administrator of the Year Which library is the nominee from? [ ] Alvin Sherman Library [ ] Health Professions Division Library [ ] Panza Maurer Law Library [ ] Oceanography Library Staff Person of the Year [Required] What is the title of the nominee? Please note that we reserve the right to change award category selection based upon the correct designation for the nominee s job title/position. [ ] Academic Advisor [ ] Accountant [ ] Advisor [ ] Administrative Assistant [ ] Assistant Coordinator [ ] Analyst [ ] Attendant [ ] Clerical [ ] Coordinator [ ] Clerk [ ] Controller [ ] Counselor [ ] Copywriter [ ] Financial Staff [ ] Editor [ ] Medical Staff [ ] Program Advisor [ ] Public Safety Officer [ ] Secretary [ ] Librarian [ ] Programmer [ ] Technician Page 6 of 11 STUEY Nomination Form

7 [Required] Which College or Department is the nominee from? [ ] Athletics [ ] Budget Administration [ ] Business Services [ ] College of Undergraduate Studies [ ] Office of Innovation and Information Technology/Center for Media Services [ ] Division of Student Affairs [ ] Enrollment and Student Services [ ] Executive Office [ ] Facilities Management [ ] Human Resources Department [ ] Institutional Advancement and Community Relations [ ] Institutional Effectiveness [ ] NSU Libraries [ ] Regional Campus:Miami-Kendall Staff Person of the Year Which library is the nominee from? [ ] Alvin Sherman Library [ ] Health Professions Division Library [ ] Panza Maurer Law Library [ ] Oceanography Library Co-Curricular Advisor of the Year [Required] Please verify that the nominee is a Co-Curricular Advisor by checking the box below. A Co-Curricular Advisor is a Faculty/Staff member that serves as an advisor to a registered student organization. Please note that we reserve the right to change award category selection based upon the correct designation for the nominee s job title/position. [ ] Co-Curricular Advisor [Required] What organization do they Advise? [Required] Which College or Department is the nominee from? Page 7 of 11 STUEY Nomination Form

8 [ ] College of Undergraduate Studies [ ] Division of Student Affairs [ ] NSU Libraries [ ] Regional Campus:Miami-Kendall Co-Curricular Advisor of the Year Which Library is the nominee from? [ ] Alvin Sherman Library [ ] Health Professions Division Library [ ] Panza Maurer Law Library [ ] Oceanography Library Professor of the Year [Required] Please verify that the nominee is a full-time Professor at NSU by checking the box below. Please note that we reserve the right to change award category selection based upon the correct designation for the nominee s job title/position [ ] Full-Time Professor [Required] Which College is the nominee from? Main Campus colleges or 1 of the 6 Regional Campuses [ ] Regional Campus:Miami-Kendall Alumnus of the Year Page 8 of 11 STUEY Nomination Form

9 [Required] What is the title of the nominee? This nominee must be a graduate of an academic college at NSU. Please note that we reserve the right to change award category selection based upon the correct designation for the nominee s job title/position [ ] Alumnus [Required] In which College is the nominee from? Please note that some majors have been moved to new colleges due to the realignment of academic programs. See link for changes [ ] Regional Campus:Miami-Kendall Regional Campus Student of the Year [Required] Please verify that this nominee is attending one of our Regional Campuses by checking the box below. Please note that we reserve the right to change award category selection based upon the correct designation for the nominee s job title/position [ ] Regional Campus Student [Required] Which Regional Campus is the nominee from? [ ] Regional Campus: Miami-Kendall Nominees Qualifications Nominee's Qualifications: Please use this section to summarize the nominee s qualifications. Provide no less than one, and no more than three specific, tangible instances where the nominee has upheld and applied our core values while helping to enhance and support the Student Affairs' Mission Statement. Please see below to review the University's core values and the Division of Student Affairs' Mission Statement. Core Values: Academic Excellence Student-Centered Integrity Innovation Opportunity Scholarship/Research Diversity Community Page 9 of 11 STUEY Nomination Form

10 Mission: The mission of Student Affairs is to foster student success and a University community. Example: Community How did this foster student success and/or a University community? This nominee hosted 20 international students at their home during Thanksgiving. This event helped foster community by providing a place for international students to celebrate the holiday. This allowed them to personally interact and socialize with fellow students and staff members within the University. [Required] Please compose a paragraph no longer than 2500 characters (including spaces) that explains why this nominee is worthy of recognition. The information submitted must relate to several of the eight core values (Academic Excellence, Student Centered, Integrity, Innovation, Opportunity, Scholarship/Research, Diversity, and Community) - must be between 1 and 2500 characters. Nominator Contact Information Please make sure you enter your information and not the information of the person you are nominating. [Required] Nominator's Name: [Required] Position Title: [Required] Preferred - name@myschool.edu [Required] Preferred Address: [Required] Preferred Phone Number - must be digits long and may include only numbers, hyphens, and spaces. Alternate Phone Number - must be digits long and may include only numbers, hyphens, and spaces. [Required] Which College/School/Center is the nominator located? - must select a value. Page 10 of 11 STUEY Nomination Form

11 [ ] Athletics [ ] Budget Administration [ ] Business Services [ ] College of Allopathic Medicine [ ] College of Medical Science [ ] College of Undergraduate Studies [ ] Division of Student Affairs [ ] Enrollment and Student Services [ ] Executive Office [ ] Facilities Management [ ] Human Resources Department [ ] Institutional Advancement [ ] Office of Innovation and Information Technologies [ ] Oceanography Library [ ] Regional Campus (SEC) [ ] NSU Libraries [ ] University School Page 11 of 11 STUEY Nomination Form