Robert L. Morlan and Robert Bishop Faculty Officer Award Nomination


 

2012 - 2013 Robert L. Morlan & Robert Bishop Faculty Officer Award Nomination

A. Information about Nominee and Institution

College/University Name:
First Name of Nominee:
Middle Name of Nominee:
Last Name of Nominee:
Position & Academic Rank
Institution/Office Address
City
State
Zip Code
Office Phone:
Home Phone:
Cell Phone:

The following information is for public announcements:

Name and address of institution's president or chancellor:
Address:
City:
State:
Zip:
Name of University Public Relations Director:
Email Address:

B. Nominee's Circle Leadership:

Specific examples of how the nominee was effective in strengthening the Circle and, where applicable, the Society at the Regional and/or National levels:

C. Personal Qualities:

Nominee's character, vital leadership qualities, effective service and relationships with student/faculty members of the Circle and the Society:

D. Effectiveness in fulfilling duties of Faculty Adviser:

Has provided support and leadership to the Circle? Yes     No
Does the nominee serve as an advocate for Circle on your campus? Yes     No
Is the nominee familiar with the National Constitution and By-laws? Yes     No
Number of Circle meetings the nominee missed in the past academic year?

E. Other Data:

Does the Circle endorse the nomination? Yes     No
Endorsed by Circle President Yes     No
Endorsed by Faculty Secretary Yes     No

F. Information about the Endorsers:

Circle President:
Address:
City
State
Zip Code
Phone:
E-mail address:
Faculty secretary:
Address:
City
State
Zip Code
Phone:
E-mail address:

Please print a copy for your personal records.




 

      


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