Lewis Award Nomination Form
Name of nominee
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First Name
Last Name
Department
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Supervisor
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Current position/title
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Years of community college experience
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Please discuss the nominee's commitment and contributions to the mission of Isothermal Community College.
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Describe the consistent, excellent performance on the job, exhibiting unselfish devotion to duty far and above normal requirements and significant contribution to the advancement of the Institution and its students as it applies to the nominee.
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How does the nominee demonstrate initiative, innovation, and leadership in the workplace?
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Describe how the nominee demonstrates the responsible, efficient use of time, money, technology, personnel and/or other resources for the benefit of the Institution, its students, and its community.
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Attest to the nominee’s attention to professional and personal development, modeling a commitment to “lifelong learning.”
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How does the nominee exhibit willingness to share time and expertise through service to the Institution, its students, and the wider community?
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Your name
First Name
Last Name
Your department
Campus email
example@example.com
Campus phone number
-
Area Code
Phone Number
Submit
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