Shout out Form
This is your opportunity to let us know about a particular accolade, award or accomplishment that you or a fellow colleague within BFSA may be receiving that deserves further recognition from the general membership! Please fill out any pertinent data below, and anything the form does not permit to cover, feel free to contact us directly at siue_bfsa@siue.edu.
Name
First Name
Last Name
University Title
Department
Email
example@example.com
Are you the individual for whom the shout out is for?
*
Yes
No
If you answered no, please give the name and title of the individual being recognized
First Name
Last Name
Nominee University Title
Nominee Department
Cause for recognition
Associated website or link(s):
Associated images or documents:
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of
Do you prefer your nomination be anonymous?
Yes
No
Submit
Should be Empty: