Trailblazer Award Nomination (Faculty and Staff)

Candidate Information

Name of Nominee

Title

Unit

Office Address

Office Phone

Please address each of the following criteria giving specific examples.

Two supporting letters of recommendation should be included. No more than three additional pieces of supporting material may also be included.

1) Exhibits ingenuity and originality in the execution of job responsibilities

2) Exemplifies vision, openness to change, and responsiveness toward emerging issues

3) Demonstrates resourcefulness, creativity, and effective problem-solving skills

4) Contributes to processes that create and support an enterprising environment

Name of Nominator

Title

Unit

Office Phone

Office Address

Email Address

Supporting Material #1

Supporting Material #2

Supporting Material #3

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