Diversity Award Nomination

ACCCA Award for Progress in Diversity

Please fill in all fields to submit your nomination.

Who is being nominated?(Required)

Myself - this is a self nomination

Another individual

More than one person (but not affiliated with a group or organization)

A group or organization

If an individual, Is the nominee a current member of ACCCA?(Required)

Yes

I'm not sure

The nominee is not an individual

YOUR CONTACT INFORMATION

Please enter your information as the nominator.

Your Name(Required)

First Last

Your Job Title(Required)

Your College/District(Required)

Your Phone(Required)

Your Email(Required)

NOMINEE CONTACT INFORMATION

Please enter the contact information for the individual nominee OR group/organization in this section

Nominee Name

First Last

Group or Organization

Nominee Job Title(Required)

Nominee College/District(Required)

Nominee Phone(Required)

Nominee Email(Required)

AWARD CRITERIA VERIFICATION

This section must be completed in order to have the nomination considered by the selection committee.

Please describe (in 900 characters or less) how the nominee or nominated organization has demonstrated leadership in promoting diversity in a higher education setting.(Required)

Please cite specific examples

Please list (in 900 characters or less) any existing documentation (research, reports, program or grant outlines, etc.) that would support this nomination. (Any documentation in support of this nomination may be uploaded using the fields below or emailed to the ACCCA office.)(Required)

Please list (in 900 characters or less) any presentations (at the state or national level) made by the nominee or on behalf of the nominated organization that impacts, enhances or represents the contribution of the nominee toward the goal of diversity in higher education.(Required)

In the case of a nominated ORGANIZATION OR GROUP, please describe (in 900 characters or less) the development of inclusion via established policy (i.e., activities on campus or within the organization) or any organizational documentation which represents effective actions taken by the nominee toward progressing diversity

SUPPORTING DOCUMENTS

If you would like to upload supporting documentation, use the upload links provided below. You can also email documentation directly to communications@accca.org, referencing your nomination submission.

File

Drop files here or

Accepted file types: doc, pdf, Max. file size: 256 MB.

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ACCCA Award for Progress in Diversity

YOUR CONTACT INFORMATION

NOMINEE CONTACT INFORMATION

AWARD CRITERIA VERIFICATION

SUPPORTING DOCUMENTS

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