College of Health Sciences Diversity and Inclusion Champion Award

Description

This award is to recognize a full-time faculty or staff member within the College of Health Science who demonstrated and actively assisted in moving the College towards becoming a more consciously and deliberately inclusive community.

Eligibility

 Must be a full-time faculty member or staff with at least three years’ experience

 Faculty who have received this award in the last three years are not eligible

Application Materials:

1. Completed nomination form
2. Letter of nomination: Nominations will be accepted from current or former students, faculty members, department chairs, program directors, advisors, and administrators. Individual faculty members may nominate themselves.
3. One letter of support: The nomination and/or support letter should include at least one from a student, faculty member, or community personnel that can speak to the nominee’s diversity and inclusion contributions for the College of Health Sciences.
4. Curriculum vitae

Submission and Deadline:

All materials should be converted into ONE PDF file and emailed to the COHS Administrative Center (COHSAdmin@odu.edu) by July 15, 2024.

Please do not submit files separately or send hard copies. It is the nominator’s responsibility to submit the requested materials by the deadline. The committee will only consider application materials requested above.

Awards:

The awardee will receive a certificate of recognition with $500.

College of Health Sciences Diversity and Inclusion Champion Award

NOMINEE FORM
Nominee Name Nominee Name * First Last
NOMINEE INFORMATION
Nominee Title *
Nominee Email
Nominee Phone Number Nominee Phone Number - ### - ### ####
Nominee Address Nominee Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Nominator Information
Name Name First Last
NOMINATOR INFORMATION
Title
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Email
Phone Phone - ### - ### ####
Draw your signature into the box below.

Draw or Type

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Full Name

I understand this is a legal representation of my signature.
Letter of Support

Please include on supporting letter.
Name Name First Last
Title
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Email
Phone Phone - ### - ### ####
STOP: Before submitting, please ensure that all items are included. Failure to include all items in the appropriate format will disqualify your application.
Checkboxes

Checkboxes Nomination Form Letter of nomination Curriculum Vitae or Resume Letter of support All forms compiled in one PDF document for submission
All forms compiled in one PDF

Attach Files

College of Health Sciences Diversity and Inclusion Champion Award

College of Health Sciences Diversity and Inclusion Champion Award

College of Health Sciences Diversity and Inclusion Champion Award

Nominator Information

Letter of Support

STOP: Before submitting, please ensure that all items are included. Failure to include all items in the appropriate format will disqualify your application.