Nominee:

Nominee's Current Unit of Employment:

Nominee's University Address:

Nominee's E-mail:

Nominee's Specific Position/Title:

Nominee's Supervisor:

Nominee's Start Date at UW Oshkosh:

Nominator:

Nominator's Current Unit of Employment:

Nominator's University Address:

Nominator's E-Mail:

Nominator's Campus Phone Number:

Nominator's Position/Title:

Highlight your main reason for this STAR Award nomination:

Briefly describe performance over and above position expectations:

Additional Comments: