Dave Marshall Leadership Awards Nomination Form

In alignment with Nipissing University's Strategic Plan (Embodying Harmony & Care; Pathway #2), and to ensure impartiality, please note that personal identifying information of nominees and nominators will be redacted from the information package given to the Awards Committee of Senate. Nominators are encouraged to be thorough and specific in their descriptions of nominees' contributions, as these descriptions will serve as the sole basis for committee deliberations. No additional information outside of the submitted descriptions will be considered. Please direct any questions to dmlawards@nipissingu.ca.

Nominator Information

First Name

Last Name

Phone

Phone Extension

Department / Organization

Position

Relationship to the nominee

Nominee Information

First Name

Last Name

Student Number

Student Email

Role(s) / Position(s)

Years of Service

Nomination Information

Nomination Category

Academic

Campus

Community

Nominees in the Academic category are assessed against the following criteria:

Capacity for critical thinking
Ability to increase people’s understanding of, or interest in the discipline
Contribution to research or other exceptional research-related activity
Capacity to create change through research or other exceptional research-related activity

Nominees in the Campus category are assessed against the following criteria:

Ability to foster a sense of community on campus
Ability to motivate/empower others to get actively and meaningfully involved on campus
Personal commitment to being actively and meaningfully engaged on campus
Commitment to improving campus culture and quality of life for all students

Nominees in the Community category are assessed against the following criteria:

Commitment to civic and social responsibility
Ability to motivate/empower others within the community or organization
Ability to work collaboratively and inclusively with others
Capacity to create change through their contribution to the community or organization

Additional Information

Please discuss the ways in which the nominee has demonstrated critical thinking within their field of study. Please provide specific examples.

Referencing the award assessment criteria for the relevant category, please describe how the nominee has contributed to their category of nomination.

Please discuss the nominees leadership qualities, character, and how they have a positive impact within their category of nomination.

What is your personal perspective on leadership? In what ways does the nominee align with those perspectives or challenge them?

Is there anything else you'd like to mention about your nominee that you haven't already addressed in the fields above?

If my nominee is selected for an award:

Please tell them that I nominated them

Please keep my nomination anonymous

(Only those chosen as recipients are contacted)

Supplemental Documentation

Optionally include any supplemental documentation (letters of reference, excerpts of work, or other relevant information). Please do not submit photos.
Maximum 5 files.
5 MB limit.
Allowed types: txt rtf pdf doc docx ppt pptx.

Click here to attach one or more files

Dave Marshall Leadership Awards Nomination Form

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