SIDLIT 2019 Nomination for Jonathan Bacon Outstanding Leadership Award
Please use the form below to submit your nomination for the C2C Jonathan Bacon Outstanding Leadership Award which will be presented at our SIDLIT Conference August 1-2, 2019 at Fort Hays State University, Hays KS.
Your Name: *
(First Last)
Your answer
Your email: *
Please enter the best email to contact you with.
Your answer
Your phone number:
Please add in case we have additional questions about your nomination form.
Your answer
Nominee’s Name: *
(First Last)
Your answer
Nominee’s affiliate organization and website:
Your answer
Nominee’s title:
Your answer
Nominee’s email address: *
Your answer
How has the nominee demonstrated setting organizational direction or climate to create an innovative, technology-based, student-centered organization? *
Limit 250 words
Your answer
How has the nominee promoted diverse ideas among faculty and students to enhance a culture of technology usage?
(Optional)
Your answer
How has the nominee remained current on innovation, and identifies funding streams to support a technology-rich environment?
(Optional)
Your answer
Please submit an optional Dropbox/Drive/OneDrive link with any substantiating information, images, or videos that you think would lend itself to the nominee here:
(URL with User Name/PW if required):
Your answer
Please use this space to add any additional optional comments:
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of Park University. Report Abuse - Terms of Service