Nomination Form for the Outstanding Lecturer Award

Distinguished Service Award, Outstanding Professor Award, and President’s Scholar Award

Please Respond by Monday, November 2, 2009

Instructions:

• Before completing this form, please read the eligibility criteria for each award as outlined in the call for nominations or University Policies S00-9 and S05-1 available at      http://www.sjsu.edu/senate/pol_chron.html.
• Please use a separate form for each nominee.
• In addition to submitting this nomination form, you must also submit (at the same time) an up-to-1500-word letter stating the reasons for nominating the faculty/lecturer member and describing the accomplishments of the nominee as appropriate to the award criteria.
• Submit this nomination form, with your letter attached, to the Academic Senate Office (ADM 176/Zip 0024) by 5:00 p.m. on Monday, November 2, 2009.
• Please note that the material submitted will not be returned.

TO:        Academic Senate Office (ADM 176/ZIP 0024)

FROM:  ___________________________       Phone Number: _____________________

SUBJECT:        NOMINATION FOR FACULTY/LECTURER AWARD

I would like to nominate the following tenured faculty/lecturer member for the (check only one):

_____ Outstanding Lecturer Award

_____  Distinguished Service Award

_____  Outstanding Professor Award

_____  President’s Scholar Award

NOMINEE’S NAME:  _______________________________________

NOMINEE’S DEPARTMENT: ________________________________