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STUEY Nomination Form

Disclaimer

**PRINT THIS PAGE FOR YOUR CONVENIENCE**

NOTE: If you are a current orgsync user, please select "log in" at the top of this page before proceeding as it will allow you the capability to save and return. Once you are logged in, select "Next" to begin your nomination.

If you do not have an orgsync account, please feel free to create one by selecting "Register" at the top this page to create your account for the Nova Southeastern University Main portal. You will be required to use your NSU email address.

Once you have created your account, please access the "STUEY Nomination Form" by clicking the forms icon on the left hand side underneath "Student Activities".

After you have been directed to this page, scroll down to "STUEY Nomination Form" to begin your nomination. ***All nominations must be submitted in English***

IMPORTANT: If you choose not to create an orgsync account, you can still proceed by selecting "Next". Although this will allow you to complete a nomination form, you will not have the capability to save and return to your submission.

**Please note that this form does allow you to copy and paste your responses**

Thank You!

Special Events and Projects, Office of Student Activities

Group or Individual

[Required] Are you nominating a group or individual? Valid input:

- Select only one choice. [ ] Group

[ ] Individual

Group Nomination

[Required] Name of Nominee

Provide the name of the organization/business/team.

[Required] Primary Contact

Provide the name of the individual who will be responsible for serving as the direct contact for this group.

[Required] Primary Contact’s Address

[Required] Primary Contact’s Email Address Valid input:

(2)

[Required] Primary Contact’s Phone Number Valid input:

- must be 10-15 digits long and may include only numbers, hyphens, and spaces.

[Required] What is the award category the group is being nominated for? Valid input:

- Select only one choice. - must select a value.

[ ] Student Government of the Year [ ] Graduate Organization of the Year [ ] Undergraduate Organization of the Year [ ] Athletic Team of the Year

[ ] Corporate Partner of the Year

Student Government of the Year

[Required] What College/School/Center is the nominee from?

NOTE: To qualify for this category, the nominee must be recognized as an official student government associate. Valid input:

- Select only one choice.

[ ] Abraham S. Fischler College of Education [ ] College of Allopathic Medicine

[ ] College of Arts, Humanities and Social Sciences [ ] College of Dental Medicine

[ ] College of Engineering and Computing [ ] College of Health Care Sciences [ ] College of Medical Science

[ ] College of Natural Sciences and Oceanography [ ] College of Nursing

[ ] College of Optometry

[ ] College of Osteopathic Medicine [ ] College of Pharmacy

[ ] College of Psychology

[ ] H. Wayne Huizenga College of Business and Entrepreneurship [ ] Regional Campus: Fort Myers

[ ] Regional Campus: Jacksonville [ ] Regional Campus: Miami-Kendall [ ] Regional Campus: Orlando [ ] Regional Campus: Palm Beach [ ] Regional Campus: Puerto Rico [ ] Regional Campus: Tampa [ ] Shepard Broad College of Law [ ] Undergraduate Student Government

Graduate Organization of the Year

[Required] Please verify that this nominee is a registered graduate student organization by checking the box below. NOTE: This does not include graduate student government associations.

Valid input:

- Select only one choice.

[ ] Registered Graduate Organization

[Required] What College/School/Center is the nominee from? Valid input:

(3)

[ ] Abraham S. Fischler College of Education [ ] College of Allopathic Medicine

[ ] College of Arts, Humanities and Social Sciences [ ] College of Dental Medicine

[ ] College of Engineering and Computing [ ] College of Health Care Sciences [ ] College of Medical Science

[ ] College of Natural Sciences and Oceanography [ ] College of Nursing

[ ] College of Optometry

[ ] College of Osteopathic Medicine [ ] College of Pharmacy

[ ] College of Psychology

[ ] H. Wayne Huizenga College of Business and Entrepreneurship [ ] Regional Campus: Fort Myers

[ ] Regional Campus: Jacksonville [ ] Regional Campus: Miami-Kendall [ ] Regional Campus:Orlando [ ] Regional Campus:Palm Beach [ ] Regional Campus: Puerto Rico [ ] Regional Campus:Tampa [ ] Shepard Broad College of Law

Undergraduate Organization of the Year

[Required] Please verify that this nominee is a registered undergraduate student organization by checking the box below. NOTE: This does not include Undergraduate Student Government Association.

Valid input:

- Select only one choice.

[ ] Registered Undergraduate Club or Student Organization

[Required] Which campus is this undergraduate student organization located? Valid input:

- Select only one choice.

[ ] Main Campus: Fort Lauderdale, FL [ ] Regional Campus: Fort Myers [ ] Regional Campus: Jacksonville [ ] Regional Campus: Miami-Kendall [ ] Regional Campus: Orlando [ ] Regional Campus: Palm Beach [ ] Regional Campus: Puerto Rico [ ] Regional Campus: Tampa

Athletic Team of the Year

[Required] Which athletic team are you nominating?

Only teams that are a member of the NSU Athletic Department will be considered for nomination.

Corporate Partner of the Year

What is the name of the business/organization being nominated?

Please nominate businesses/organizations that hold a corporate partnership with NSU.

Individual Nomination

[Required] Nominee's Name

(4)

[Required] Nominee's Preferred Phone Number Valid input:

- must be 10-15 digits long and may include only numbers, hyphens, and spaces.

Nominee's Alternate Phone Number Valid input:

- must be 10-15 digits long and may include only numbers, hyphens, and spaces.

[Required] Nominee's Preferred Email Address Valid input:

- name@myschool.edu

[Required] What is the award category the individual is being nominated for? Valid input:

- Select only one choice. [ ] Student of the Year [ ] Executive of the Year [ ] Administrator of the Year [ ] Staff Person of the Year [ ] Co-Curricular Advisor of the Year [ ] Professor of the Year

[ ] Alumnus of the Year

[ ] Regional Campus Student of the Year

Student of the Year

[Required] Which College/School/Center is the nominee located?

For students from the regional campuses, please nominate them under the "Regional Campus Student of the Year" Category. Valid input:

- Select only one choice.

[ ] Abraham S. Fischler College of Education [ ] College of Allopathic Medicine

[ ] College of Arts, Humanities and Social Sciences [ ] College of Psychology

[ ] College of Dental Medicine

[ ] College of Engineering and Computing [ ] College of Health Care Sciences [ ] College of Medical Science

[ ] College of Natural Sciences and Oceanography [ ] College of Nursing

[ ] College of Optometry

[ ] College of Osteopathic Medicine [ ] College of Pharmacy

[ ] H. Wayne Huizenga College of Business and Entrepreneurship [ ] Shepard Broad College of Law

[ ] University School

Executive of the Year

[Required] What is the title of the nominee?

Please note that we reserve the right to change award category selection based upon the correct designation for the nominee’s job title/position. Valid input:

(5)

[ ] Assistant Dean [ ] Assistant Vice President [ ] Associate Dean [ ] Associate Provost [ ] Associate Vice President [ ] Chancellor

[ ] Chief Executive Officer (CEO) [ ] Chief Financial Officer (CFO) [ ] Chief Operating Officer (COO) [ ] Dean

[ ] Executive Associate Dean [ ] Executive Dean

[ ] Executive Director [ ] Executive Officer [ ] Executive Vice President [ ] Legal Counselor [ ] President [ ] Provost [ ] Vice President

[Required] Which College/School/Center is the nominee located? Valid input:

- Select only one choice.

[ ] Abraham S. Fischler College of Education [ ] Alvin Sherman Library

[ ] Athletics

[ ] Budget Administration [ ] Business Services

[ ] College of Allopathic Medicine

[ ] College of Arts, Humanities and Social Sciences [ ] College of Dental Medicine

[ ] College of Engineering and Computing [ ] College of Health Care Sciences [ ] College of Medical Science

[ ] College of Natural Sciences and Oceanography [ ] College of Nursing

[ ] College of Optometry

[ ] College of Osteopathic Medicine [ ] College of Pharmacy

[ ] College of Psychology

[ ] College of Undergraduate Studies [ ] Division of Student Affairs [ ] Enrollment and Student Services [ ] Facilities Management

[ ] H. Wayne Huizenga College of Business and Entrepreneurship [ ] Health Professions Division Library

[ ] Human Resources Department [ ] Institutional Advancement [ ] Law Library & Technology Center [ ] Oceanography Library

[ ] Office of Innovation and Information Technologies [ ] Regional Campus: Fort Myers

[ ] Regional Campus: Jacksonville [ ] Regional Campus: Miami-Kendall [ ] Regional Campus: Orlando [ ] Regional Campus: Palm Beach [ ] Regional Campus: Puerto Rico [ ] Regional Campus: Tampa [ ] Shepard Broad College of Law

Administrator of the Year

[Required] What is the title of the nominee?

Please note that we reserve the right to change award category selection based upon the correct designation for the nominee’s job title/position. Valid input:

(6)

[ ] Administrator [ ] Assistant Director [ ] Assistant Coach [ ] Assistant Manager [ ] Associate Director [ ] Deputy Director [ ] Director [ ] Head Coach [ ] Manager [ ] Supervisor

[Required] Which College/School/Center is the nominee located? Valid input:

- Select only one choice.

[ ] Abraham S. Fischler College of Education [ ] Alvin Sherman Library

[ ] Athletics

[ ] Budget Administration [ ] Business Services

[ ] College of Allopathic Medicine

[ ] College of Arts, Humanities and Social Sciences [ ] College of Dental Medicine

[ ] College of Engineering and Computing [ ] College of Health Care Sciences [ ] College of Medical Sciences

[ ] College of Natural Sciences and Oceanography [ ] College of Nursing

[ ] College of Optometry

[ ] College of Osteopathic Medicine [ ] College of Pharmacy

[ ] College of Psychology

[ ] College of Undergraduate Studies [ ] Division of Student Affairs [ ] Enrollment and Student Services [ ] Facilities Management

[ ] H. Wayne Huizenga College of Business and Entrepreneurship [ ] Health Professions Division Library

[ ] Human Resources Department [ ] Institutional Advancement [ ] Law Library & Technology Center [ ] Oceanography Library

[ ] Office of Innovation and Information Technologies [ ] Regional Campus: Fort Myers

[ ] Regional Campus: Jacksonville [ ] Regional Campus:Miami-Kendall [ ] Regional Campus: Orlando [ ] Regional Campus: Palm Beach [ ] Regional Campus: Puerto Rico [ ] Regional Campus: Tampa [ ] Shepard Broad College of Law

Staff Person of the Year

[Required] What is the title of the nominee?

Please note that we reserve the right to change award category selection based upon the correct designation for the nominee’s job title/position. Valid input:

(7)

[ ] Academic Advisor [ ] Accountant [ ] Advisor

[ ] Administrative Assistant [ ] Assistant Coordinator [ ] Analyst

[ ] Attendant [ ] Clerical [ ] Coordinator [ ] Clerk [ ] Controller [ ] Counselor [ ] Copywriter [ ] Financial Staff [ ] Editor [ ] Medical Staff [ ] Program Advisor [ ] Public Safety Officer [ ] Secretary

[ ] Librarian [ ] Programmer [ ] Technician

[Required] Which College/School/Center is the nominee located? Valid input:

- Select only one choice.

[ ] Abraham S. Fischler College of Education [ ] Alvin Sherman Library

[ ] Athletics

[ ] Budget Administration [ ] Business Services

[ ] College of Allopathic Medicine

[ ] College of Arts, Humanities and Social Sciences [ ] College of Dental Medicine

[ ] College of Engineering and Computing [ ] College of Health Care Sciences [ ] College of Medical Science

[ ] College of Natural Sciences and Oceanography [ ] College of Nursing

[ ] College of Optometry

[ ] College of Osteopathic Medicine [ ] College of Pharmacy

[ ] College of Psychology

[ ] College of Undergraduate Studies

[ ] Office of Innovation and Information Technologies [ ] Division of Student Affairs

[ ] Enrollment and Student Services [ ] Facilities Management

[ ] H. Wayne Huizenga College of Business and Entrepreneurship [ ] Health Professions Division Library

[ ] Human Resources Department [ ] Institutional Advancement [ ] Law Library & Technology Center [ ] Oceanography Library

[ ] Regional Campus: Fort Myers [ ] Regional Campus: Jacksonville [ ] Regional Campus:Miami-Kendall [ ] Regional Campus: Orlando [ ] Regional Campus: Palm Beach [ ] Regional Campus: Puerto Rico [ ] Regional Campus: Tampa [ ] Shepard Broad College of Law

Co-Curricular Advisor of the Year

[Required] Please verify that the nominee is a Co-Curricular Advisor by checking the box below. A Co-Curricular Advisor is a Faculty/Staff member that serves as an advisor to a registered student organization.

Please note that we reserve the right to change award category selection based upon the correct designation for the nominee’s job title/position. Valid input:

- Select only one choice. [ ] Co-Curricular Advisor

(8)

[Required] Which College/School/Center is the nominee located? Valid input:

- Select only one choice.

[ ] Abraham S. Fischler College of Education [ ] Alvin Sherman Library

[ ] College of Allopathic Medicine

[ ] College of Arts, Humanities and Social Sciences [ ] College of Dental Medicine

[ ] College of Engineering and Computing [ ] College of Health Care Sciences [ ] College of Medical Science

[ ] College of Natural Sciences and Oceanography [ ] College of Nursing

[ ] College of Optometry

[ ] College of Osteopathic Medicine [ ] College of Pharmacy

[ ] College of Psychology

[ ] College of Undergraduate Studies [ ] Division of Student Affairs

[ ] H. Wayne Huizenga College of Business and Entrepreneurship [ ] Health Professions Division Library

[ ] Law Library & Technology Center [ ] Oceanography Library

[ ] Regional Campus: Fort Myers [ ] Regional Campus: Jacksonville [ ] Regional Campus:Miami-Kendall [ ] Regional Campus: Orlando [ ] Regional Campus: Palm Beach [ ] Regional Campus: Puerto Rico [ ] Regional Campus: Tampa [ ] Shepard Broad College of Law

Professor of the Year

[Required] Please verify that the nominee is a full-time Professor at NSU by checking the box below.

Please note that we reserve the right to change award category selection based upon the correct designation for the nominee’s job title/position Valid input:

- Select only one choice. [ ] Full-Time Professor

[Required] Which College/School/Center is the nominee located? Main Campus colleges or 1 of the 6 Regional Campuses

Valid input:

- Select only one choice.

[ ] Abraham S. Fischler College of Education [ ] College of Allopathic Medicine

[ ] College of Arts, Humanities and Social Sciences [ ] College of Dental Medicine

[ ] College of Health Care Sciences [ ] College of Medical Science

[ ] College of Natural Sciences and Oceanography [ ] College of Nursing

[ ] College of Optometry

[ ] College of Osteopathic Medicine [ ] College of Pharmacy

[ ] College of Psychology

[ ] College of Engineering and Computing

[ ] H. Wayne Huizenga College of Business and Entrepreneurship [ ] Regional Campus: Fort Myers

(9)

[Required] What is the title of the nominee?

This nominee must be a graduate of an academic college at NSU.

Please note that we reserve the right to change award category selection based upon the correct designation for the nominee’s job title/position Valid input:

- Select only one choice. [ ] Alumnus

[Required] In which College is the nominee located?

Please note that some majors have been moved to new colleges due to the realignment of academic programs. See link for changes http://www.nova.edu/massmail/presdesk/NSURealignmentofAcademicPrograms.pdf

Valid input:

- Select only one choice.

[ ] Abraham S. Fischler College of Education [ ] College of Allopathic Medicine

[ ] College of Arts, Humanities and Social Sciences [ ] College of Dental Medicine

[ ] College of Engineering and Computing [ ] College of Health Care Sciences [ ] College of Medical Science

[ ] College of Natural Sciences and Oceanography [ ] College of Nursing

[ ] College of Optometry

[ ] College of Osteopathic Medicine [ ] College of Pharmacy

[ ] College of Psychology

[ ] H. Wayne Huizenga College of Business and Entrepreneurship [ ] Regional Campus: Fort Myers

[ ] Regional Campus: Jacksonville [ ] Regional Campus:Miami-Kendall [ ] Regional Campus: Orlando [ ] Regional Campus: Palm Beach [ ] Regional Campus: Puerto Rico [ ] Regional Campus: Tampa [ ] Shepard Broad College of Law

Regional Campus Student of the Year

[Required] Please verify that this nominee is attending one of our Regional Campuses by checking the box below.

Please note that we reserve the right to change award category selection based upon the correct designation for the nominee’s job title/position Valid input:

- Select only one choice. [ ] Regional Campus Student

[Required] Which Regional Campus is the nominee located? Valid input:

- Select only one choice. [ ] Regional Campus: Fort Myers [ ] Regional Campus: Jacksonville [ ] Regional Campus: Miami-Kendall [ ] Regional Campus: Orlando [ ] Regional Campus: Palm Beach [ ] Regional Campus: Puerto Rico [ ] Regional Campus: Tampa

Nominees Qualifications

Nominee's Qualifications:

Please use this section to summarize the nominee’s qualifications. Provide no less than one, and no more than three specific, tangible instances where the nominee has upheld and applied our core values while helping to enhance and support the Student Affairs' Mission Statement. Please see below to review the University's core values and the Division of Student Affairs' Mission Statement.

Core Values: Academic Excellence Student-Centered Integrity

Innovation Opportunity

Scholarship/Research Diversity

(10)

Community Mission:

The mission of Student Affairs is to foster student success and a University community. Example: Community

How did this foster student success and/or a University community?

This nominee hosted 20 international students at their home during Thanksgiving. This event helped foster community by providing a place for international students to celebrate the holiday. This allowed them to personally interact and socialize with fellow students and staff members within the University.

[Required] Please compose a paragraph no longer than 2500 characters (including spaces) that explains why this nominee is worthy of recognition. The information submitted must relate to several of the eight core values (Academic Excellence, Student Centered, Integrity, Innovation, Opportunity,

Scholarship/Research, Diversity, and Community) Valid input:

- must be between 1 and 2500 characters.

Nominator Contact Information

Please make sure you enter your information and not the information of the person you are nominating. [Required] Nominator's Name:

[Required] Position Title:

[Required] Preferred Email : Valid input:

- name@myschool.edu

[Required] Preferred Address:

[Required] Preferred Phone Number Valid input:

- must be 10-15 digits long and may include only numbers, hyphens, and spaces.

Alternate Phone Number Valid input:

- must be 10-15 digits long and may include only numbers, hyphens, and spaces.

[Required] Which College/School/Center is the nominator located? Valid input:

- Select only one choice. - must select a value.

(11)

[ ] Abraham S. Fischler College of Education [ ] Alvin Sherman Library

[ ] Athletics

[ ] Budget Administration [ ] Business Services

[ ] College of Allopathic Medicine

[ ] College of Arts, Humanities and Social Sciences [ ] College of Dental Medicine

[ ] College of Engineering and Computing [ ] College of Health Care Sciences [ ] College of Medical Science

[ ] College of Natural Sciences and Oceanography [ ] College of Nursing

[ ] College of Optometry

[ ] College of Osteopathic Medicine [ ] College of Pharmacy

[ ] College of Psychology

[ ] College of Undergraduate Studies [ ] Division of Student Affairs [ ] Enrollment and Student Services [ ] Facilities Management

[ ] H. Wayne Huizenga College of Business and Entrepreneurship [ ] Health Professions Division Library

[ ] Human Resources Department [ ] Institutional Advancement [ ] Law Library & Technology Center

[ ] Office of Innovation and Information Technologies [ ] Oceanography Library

[ ] Regional Campus (SEC) [ ] Shepard Broad College of Law [ ] University School

References

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