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Frank G. Pogue Student Center
Edinboro, PA  16444
Phone: 814.732.2768
Fax: 814.732.2665

 

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Excellence in Diversity Application

 

Annual Excellence in Diversity Award Nomination Form

(*) denotes required information.

Nominator Information, if there is more than one nominator, please email additional information to fh090086@scots.edinboro.edu
* Nominator Name
* Relationship
Student Faculty Friend
Supervisor Other
* Campus Address
* Phone
* Nominator Email
* Status at Edinboro University
Student Faculty Staff
 
 
Please complete the information below to the best of your ability regarding the person you are nominating:  
 
* Nominee First Name
* Nominee Last Name
Nominee Address
Nominee Email
* Status at Edinboro University
Student Faculty Staff
* Award the individual is being nominated for:
Man of the Year Woman of the Year Faculty/Staff of the Year
* Please describe your relationship to the nominee
* How has the nominee positively affected the Edinboro community through his/her efforts in diversity enhancement
Please include any extra information describing the efforts your nominee has displayed wihtin the community