Earl Norman Leadership Award - Nomination Form

This prestigious annual award honors an outstanding Washington community and technical college administrator who, through visionary leadership and management skills, has made significant contributions to the college and community.

NOMINATION FORM - Please print this form and mail or fax.

Name of Nominee
College
Position/Title
College Address
City/State/Zip
Home Address
City,State, Zip
Phone-College
Phone-Home
Fax:
E-mail:
Name of Person Submitting Nomination
Position/Title
College
College Address
City, State, Zip
Phone-College
Phone-Home
Fax
E-mail

Nominator's signature:  I hereby certify the accuracy of the information contained in this nomination.

_______________________________________________________________________
Name                                                                             Date

 

PLEASE ATTACH THE FOLLOWING:

• Resume of Nominee: Education, employment history, professional accomplishments, extracurricular campus and community activities, special awards or recognition.
  
  
• Nominating Statement: Not to exceed 500 words.  Use additional sheets if necessary. 
  (Refer to selection criteria for preparing statement.)
  
  
• References: Three names of references must accompany nomination.

RETURN NOMINATION TO:

Laurie Clary
Grays Harbor College
1620 Edward P Smith Dr.
Aberdeen, WA 98520
Phone: 360-538-4010
Fax: 360-538-4299
lclary@ghc.edu

Nominations will not be considered unless they are complete in all respects and postmarked by April 25, 2008.

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