2019 CSUN Leadership Award Nomination Form

The CSUN Leadership Award is granted annually to an Administrator who sustains consistent and outstanding demonstration of the Leadership Principles. The Administrator has exhibited a commitment to connect his/her work with the campus's eight planning priorities.

Eligibility:

Recipients will be a regular full- or part-time Administrator of the University with a minimum of two years of service.

Nomination:

Please provide information pertaining to the Nominee, You (the Nominator), and the Nominee's Supervisor. Review the award criteria to ensure your nomination highlights why the nominee merits consideration.

It is recommended that you use the preview of the nomination form provided on the Staff Service Awards page to prepare your responses so that you may paste them into the form in one sitting.

After you successfully submit your nomination, you will receive an email with which you can view and print a copy of your nomination. If you do not receive an email, you have not successfully submitted your nomination.

The nomination must be complete and received by Noon, Thursday, February 28, 2019.

Date *

Month

Day

Year

Nominee's First Name *

Nominee's Last Name *

Nominee's Department *

Nominee's Title/Position *

Nominee's CSUN E-Mail *

Nominee's Years of Service (if known)

Nominator's Full Name (You) *

Nominator's Department *

Nominator's Title *

Nominator's Campus Phone *

Nominator's E-Mail *

Relationship to Nominee ( Colleague, Supervisor, etc.) *

Nominee's Supervisor/Manager (FN, LN - complete if different than Nominator)

Supervisor/Manager Campus Phone *

Supervisor/Manager E-mail *

Please provide examples of how the nominee exemplifies the CSUN Leadership Principles of Mission Aligned; Courageous & Resilient; Inclusive; Communicative; Catalytic; Talent Builder; Collaborative; Ethical & Collegial; and Accountable. *

You may view the characteristics of the Leadership Principles at http://www.csun.edu/sites/default/files/CSUN_Leadership_Principles.pdf

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2019 CSUN Leadership Award Nomination Form