Distinguished Teaching Awards Nomination Form
This form asks for information about the nominee, nominator(s), chair (if different), and dean. In addition to this form, a nomination dossier must be submitted in accordance with the nomination instructions.

PLEASE NOTE: Before completing this form, be sure you have the go-ahead to do so from your designated "College Contact." This person is responsible for ensuring that your unit does not submit too many nominations, and may prefer to complete this form themselves.
For which award is this person being nominated? *
First name of nominee *
Last name of nominee *
Nominee's email *
Nominee's department *
Nominee's college or school *
Nominee's office phone *
Nominee's cell phone
Nominee's home phone
Campus *
Job title *
Job category *
Highest degree *
Year conferred *
Initial position at the University of Minnesota (rank and year) *
e.g. Assistant Professor, 2005
Is this a re-nomination? *
Name of nominator *
Email address *
Name of co-nominator, if applicable
Email address
Name of department chair or head *
Email address *
Name of dean *
Email address *
Name of person submitting this form *
Email address of person submitting this form *
Additional information or comments
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