2017 SLCE Award Nomination Form
Service-Learning & Civic Engagement Recognition Awards Nomination Form

The 10th annual Service-Learning & Civic Engagement Conference, Stronger Together, is an opportunity to recognize and honor faculty, staff, students and community partners for their contribution to service-learning and civic engagement in Maryland and Washington DC colleges and universities.

BE THE SPARK FOR ACTION
Saturday, April 1, 2017 -- 10:00 a.m. - 4:00 p.m.
Towson University, 8000 York Rd, Towson, MD 21252

All awards recognize the outstanding impact of the nominee’s contribution to service-learning and civic engagement in higher education. Students, faculty, staff and community partners may submit nominations. Self-nominations are also accepted for all awards. Award recipients will be honored during the SLCE Conference on Saturday, April 1, 2017.

Nomination Deadline EXTENDED: Sun, Feb 19, 2017 at 11:59pm
Nomination includes a 500-word recommendation detailing the nominee’s contribution.

For questions regarding the award, please contact us at slcenominations@gmail.com.

NOMINEE INFORMATION
Please indicate nomination for:
Nominee Name
Your answer
Mailing Address
(Street Address, City, State, Zip)
Your answer
Email Address
Your answer
Telephone Number
Your answer
College or University of Nominee
For community partner nominations, please include the College or University collaborator.
Your answer
Community Agency Name
For community partner nominations only.
Your answer
Department
For Faculty, Staff, and Student nominations only.
Your answer
Student Graduation Date
For undergraduate and graduate student nominations only.
Your answer
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