University of Pittsburgh at Greensburg
NOMINATION FORM
Name: ________________________________________________________________________________
Campus Address: _____________________________________Campus Phone:______________________
Date of Hire at UPG (for 3-Year Eligibility Requirement): _______________________________________
Current Position: ________________________________________________________________________
Department: ___________________________________________________________________________
Duties Performed (use separate sheet if necessary): _____________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
________________________________________________________________________________
Nominee’s Signature
Date
________________________________________________________________________________
Nominator’s Signature
Date
Please return this form with other nomination materials no later than:
5:00 p.m.
Wednesday, February 26, 2003
to:
President’s Award for Staff Excellence Committee
c/o Dr. Mary Beth Spore, Facilitator
Faculty Office Building 214
Return to
President's Welcome
Return to UPG Homepage
01/31/03