2016 Newman Civic Fellows Award - University of South ...



2016 Newman Civic Fellows Award Nomination FormNominator Information Name: ____________________________________________________________________________Department: ________________________________________________________________________Address: ___________________________________________________________________________Phone: ______________________________E-Mail: _____________________________________Nominee InformationFull Name (First, MI, Last)l: _____________________________________________________________Phone: ____________________________________E-Mail: _______________________________ Major: ____________________________________Year of Graduation: _____________________Supporting documentation (required)One letter of recommendation Leadership Profile (200 word max)—written by nominatorPlease include information central to the recommendation including the nominee’s approach to addressing the root causes of social issues and information about his/her potential for making significant contributions to public problem solving.Nominee Personal Statement (200 word max)—written by nomineePlease have the student include information central to the recommendation including the student's approach to addressing the root causes of social issues and information about their potential for making significant contributions to public problem solving.Headshot of nominee for publicity purposesAll completed nominations must be submitted to the Office of Service-Learning and Community Engagement via email to oslce@uscupstate.edu or directly to Kara Ferguson at kferguson@uscupstate.edu by February 17, 2016 at 3pm.No late submissions will be accepted! ................
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