Undergraduate Student Group Impact Award Nomination Form
One faculty/advisor sponsor from an AKA member academic unit is encouraged to submit a nomination for an undergraduate student group that meets the criteria for one of the categories. The deadline for submitting nomination forms for each year is 11:59 pm CT on March 31st.
Nominator's Name
*
First Name
Last Name
Nominator's Email
*
example@example.com
Nominator's Institution/University
*
Nominator's Department/Academic Unit
*
Nominator's Position
*
Name of Undergraduate Student Group
*
Institution/University of Undergraduate Student Group
*
Name of Contact Person in the Undergraduate Student Group
*
First Name
Last Name
Email of Contact Person in the Undergraduate Student Group
*
example@example.com
Award Category
*
Diversity, Equity, and Inclusion
Community
Letter of Nomination/Support Upload
Faculty/advisor sponsor Letter of Nomination/Support (not to exceed 1 page in length) that summarizes the provided evidence that meets the established award criteria for the chosen category.
File Upload
*
Browse Files
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of
Video Link - Copy and paste the YouTube link for the AKA Undergraduate Student Impact Award Video (3-5 minutes)
*
Submit
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