Excellence in Teaching Award Nomination Form

  • Date Format: MM slash DD slash YYYY
  • Nominator's Information

  • I hereby place in nomination this person for Western Piedmont's Excellence in Teaching Award.Please share reasons for nominating this individual along with examples, using each of the following selection criteria. You may attach any documents necessary to support the nomination by submitting them as attachments below these reasons.
  • Nominee's Information

  • Reasons for Nomination (Give Examples)

  • Drop files here or
    Accepted file types: doc, docx, xls, xlsx, pdf.
      Please upload any documents that support your nomination.
    • Electronic Signature

      By entering my name below and submitting this nomination form, I certify to the best of my knowledge that the information given is true and complete. Further, I understand and agree that my electronic signature is the legal equivalent of my manual signature.