MultiCultural Teaching Award Nomination Form 2011
Faculty Award
THE PRESIDENTIAL EXEMPLARY MULTICULTURAL TEACHING AWARD
Nomination Form
Nomination Deadline: Friday, February 21, 2011
Nominee Statement Deadline: March 11, 2011
Nominee’s Name___________________________________________________________
Academic Department______________________________________________________
School___________________________Telephone_____________________
Faculty Status Full Time________ Part-Time__________________
Nominator’s Name________________________________________________________
Nominator’s Address____________________________________________________
Telephone_______________________________________________________
E-Mail Address_____________________________________________________
Nominator’s Signature_________________________________________
Check one: Classification: Student: Freshman____ Sophomore___ Junior ___ Senior _____ Graduate____ Professional
Faculty____ Staff____ Administrator____ Other, specify_____________
Have you taken a course taught by the Nominee? Yes____ No____
If so, how many?______________
Have you observed the Nominee’s teaching? Yes ______ No____
Criterion: All Nominations require both a Nominator’s Letter outlining the Nominee’s qualifications and the Nomination Form to complete the Nomination.
Send Nomination Form and Nominators Statement to:
Dr. Mordean Taylor-Archer, Vice Provost for Diversity & Equal Opportunity
Grawemeyer Hall, Office of the University Provost
University of Louisville
Louisville, Kentucky 40292
Belknap Campus
mct6.1/03

