UBTech Way Award Nomination Form 2022

The UBTech Way Award

Please fill out this form to nominate (an) individual(s) for this award
At Uintah Basin Technical College, diversity, equity, and inclusion are fundamental components of The UBTech Way. Building upon our past, we will prepare for the future, by celebrating the diverse backgrounds, experiences, and voices of our students, team members, and community. At UBTech, equity and inclusion improve the delivery of educational opportunities for all students.

This special recognition award is for (an) individual(s) who is a civil servant in their community. This person initiates and leads action by recognizing diversity in others, fights to remove barriers, and cultivates a more inclusive environment to attract and improve the learning experience and engagement levels of community members.

Nominations should indicate how the nominee meets the following criteria:

1) This award is intended to recognize (an) individual(s) who have dedicated their time and talents demonstrating exceptional commitment in promoting practices that advance diversity, equity, and inclusion in our community.

NOMINATIONS ARE DUE DEC. 16

1. Nominee Information
Nominee's Name

First NameLast Name
Nominee's Residency

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Nominee's Phone Number

Area CodePhone Number
Nominee's E-mail Address
Reason For Nomination
In 100 words or less, please share why this/these individual(s) should receive this award

The UBTech Way Award