Momentum Maker Nomination Form
Thank you for taking the time to recognize a member of our team. Momentum Makers are staff members or teams who create meaningful impact through service, collaboration, innovation, and relationship-building. Please share your experience below. Selected submissions may be used for internal recognition and, with your permission, external marketing and testimonial materials.
About You
Your Name
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First Name
Last Name
Organization / School / Company
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Your Email Address
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example@example.com
Your Role / Title
Nominee Information
Who would you like to recognize?
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Is this nomination for:
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An individual
A team/department
If known, what department or center are they part of?
Recognition Details
What did this person or team do that made an impact?
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How did their work positively affect you, your students, your organization, or your experience?
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What qualities stood out most?
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Communication
Leadership
Creativity
Collaboration
Responsiveness
Problem-solving
Professionalism
Student Impact
Relationship Building
Going Above & Beyond
Other
Permissions & Recognition
May we share portions of your submission as a testimonial or recognition story in marketing or promotional materials?
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Yes, you may use my comments publicly with my name and organization
Yes, but please do not include my name
Internal recognition use only
Please contact me before using my submission publicly
May we contact you for additional information or a follow-up story?
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Yes
No
Submit
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