NISOD Excellence Awards Submission Form

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2024 NISOD EXCELLENCE AWARDS SUBMISSION

Deadline to Submit Extended to April 12, 2024

Before completing and submitting this form, please be sure that the names you are submitting have completed the approval process at your college. You will be asked to affirm that this has been complete prior to submitting the form.

Please enter complete and accurate information. Only 15 recipients can be submitted at one time. If you have more than 15 recipients, please complete and submit the form again.

Questions? Email our Membership Team at membership@nisod.org.

Select your college

College *

Excellence Awards contact information

This individual will be responsible for coordinating all aspects of the Excellence Awards process.

First Name *

Last Name *

Job Title *

Email Address *

Work Phone *

Enter your President/CEO contact information

First Name *

Last Name *

Job Title *

Email Address *

Recipient information

Indicate when recipients can be notified. *

How many recipients are you submitting?

Where should Excellence Awards medallions and certificates be mailed for anyone who does not receive them at the conference?

This individual should be the person who will be responsible for presenting the award to the recipient(s).

First Name *

Last Name *

Email Address *

Address *

City *

State/Province *

Zip/Postal Code *

Country

Submission

President/Chancellor Approval *

I affirm that our college's CEO (president/chancellor) has approved this submission.

Name of person submitting this form: *

Captcha *