Civic Engagement Hall of Fame 2017 Nomination

Salem State University Civic Engagement Hall of Fame Nomination Form

The Civic Engagement Hall of Fame (HOF) is an annual program sponsored by President Patricia Maguire Meservey and the Center for Civic Engagement. This year the HOF induction ceremony will be held April 3, 2017.

The Hall of Fame award is given annually to a Salem State student, alumna/us, faculty, and staff or administrator to recognize their sustained commitment and passion to addressing social and environmental challenges facing our communities. Self-nominations are accepted.

For more information and to see previous inductees, please visit http://www.salemstate.edu/community/25146.php

Deadline for nominations is Friday, February 10, 2017

Question Title

* 1. Nominee's Information

Nominee's First Name: *

Nominee's Last Name: *

Email Address:

Phone Number: *

Question Title

* 2. Nominator's Information

Nominator's First Name:

Nominator's Last Name:

Email Address:

Phone:

Question Title

* 3. Award Nomination Classification. Please select one category that best describes the relationship of the nominee to SSU.

Student (undergraduate or graduate)

Faculty

Staff/Administrator

Alumni (not currently a student or employee of SSU)