Rising Star Award Nomination Questionnaire
Nomination Form 2017

DEADLINE FOR NOMINATION: January 31, 2017 - Nomination questionnaire
March 10, 2017 - Letters of support (upon request)

Nominee: Name and Title *
Your answer
Nominee Unit *
Your answer
Nominee Division *
Nominator Name and Title *
Your answer
Nominator Unit *
Your answer
Nominator Contact Information (email, phone, and/or work address) *
Your answer
Nominations for the Rising Star Award require confirmation of satisfactory performance from the unit Chief Administrator/Chair/Director. *
Note: If the nominator is not the unit Chief Administrator/Chair/Director, LSA HR will contact the appropriate individual to confirm satisfactory performance.
General Instructions
• Be specific–give examples and the details of what your candidate has done that meets the selection criteria.
• While every candidate will not exhibit all of the award criteria, it is possible that certain characteristics or experiences could fulfill more than one criterion. The more complete a nomination form is, the more information the Selection Committee has to evaluate the nominee’s candidacy. If there is no reasonable response, “not applicable” is acceptable for questions that don’t apply.
• Avoid general statements such as: “the nominee has a pleasant personality,” “the nominee is a seasoned professional,” or “the nominee is always helpful.”
• Include as much qualitative and quantitative information as you can about the nominee’s work and contributions on behalf of the unit/College: “the nominee revised a work process that cut response time in half, and improved service to students and faculty”, or “the nominee’s willingness to listen allowed her to successfully resolve conflict.”
1. Provide a general summary of why this individual is deserving of the Rising Star Award for 2017.
Your answer
2. Describe how the nominee demonstrated unusual initiative or creativity; offered a novel problem resolution.
Your answer
3. Describe how the nominee developed innovations that improve work processes and are resource-conscious.
Your answer
4. Describe how the nominee communicated openly and constructively about addressing challenges.
Your answer
5. Describe the nominee’s contributions toward the success of others.
Your answer
6. Describe how the nominee exhibited strong work qualities such as dependability, patience and commitment.
Your answer
7. Describe how the nominee demonstrated a willingness to take on new and/or additional tasks; pitched in when needed.
Your answer
8. Describe how the nominee fostered collaboration and cooperation among colleagues.
Your answer
9. Describe how the nominee extended extra effort to help others (students, faculty, staff, visitors).
Your answer
10. Describe how the nominee demonstrated exemplary citizenship within the College.
Your answer
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