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Helen Bader School of Social Welfare

Awards Nomination Form

Nomination forms must be submitted by March 15, 2013. Awards will be presented at the HBSSW Awards Banquet on May 3, 2013.

In order to submit a nomination, you must be a HBSSW faculty, or staff members, enrolled student or alumnus.

I nominate:

[Name of the Nominee]

Student Awards

Undergraduate Student Award in Criminal Justice
Undergraduate Student Award in Social Work
Graduate Student Award in Criminal Justice
Graduate Student Award in Social Work

Faculty, Staff & Alumni Awards

(An award will be presented in both Social Work and Criminal Justice).

Service Award
 Research Award
Teaching Award
Adjunct Teaching Award
Non Teaching Staff Award
Alumni Award

Community Awards

(An award will be presented in both Social Work and Criminal Justice).

Agency Research Collaboration Award
Community Member/Agency of the Year Award

Nominee Contact Information

Campus Room Number and Building (if applicable)  
Nominee's Phone:  
Nominee's Street Address  
Nominee's email

Your Contact Information

Your Name, Campus Room Number and Building (if applicable)  
Your Phone Number:  
Relationship with Nominee (e.g., coworker, friend)  
Your Email

Please provide a brief description, 200 words or less, specific to the award criteria: