University Staff Advocate Award Nomination

Please complete all required fields below and then submit the form.

Nominee Name*
First Last
Nominee Current Unit of Employment*
Nominee University Address*
Nominee Email*
Nominee Title/Position*
Nominee Supervisor*
Nominee Start Date at UWO (mo/yr)*
Nominator Name*
First Last
Nominator Current Unit of Employment*
Nominator Email*
Nominator Campus Phone*
Nominator Title/Position*
Please give the main reason for this nomination.*
Briefly describe activities that have significantly demonstrated support of classified staff.*