Provost: 3C Shining Star Nomination Form

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* 1. Your first and last name?

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* 2. Your email address?

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* 3. Your position title?

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* 4. Your assigned department name?

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* 5. Your supervisor's name?

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* 6. Your Vice Chancellor?

Dr. Shasta Buchanan

Dr. Gaye Lynn Scott

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* 7. Your nominee's first and last name:

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* 8. Your nominee's position title:

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* 9. Your nominee's supervisor:

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* 10. Your nominee's assigned department:

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* 11. Check all boxes your nominee demonstrates as a collaboration role model for others to emulate:

Dimension 1 — Work within and across departments to leverage our collective expertise and strengths to innovate, foster employee growth and development, and support student success.

Dimension 2 — Actively listen to the ideas and concerns of others. Communicate with openness, respond in positive ways that are supportive of other individuals, and strive to find optimal solutions to challenges.

Dimension 3 — Participate in and/or stay abreast of shared-governance activities to achieve the mission and goals of the college.

Dimension 4 — Ensure that employees are involved in discussing issues and creating innovative solutions. Supervisors are expected to promote an environment for teamwork.

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* 12. Check all boxes your nominee demonstrates as a connection role model for others to emulate:

Dimension 1 — Practice diversity, equity, inclusion, and self-reflection in all aspects of our work, interactions, and relationships.

Dimension 2 — Identify and describe connections between daily work and achieving the mission, strategic plan goal, and objectives of the college. Supervisors will facilitate these connections with members of their team.

Dimension 3 — Stay informed and seek information. Supervisors will identify relevant stakeholders and disseminate information about when and how key decisions are made.

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* 13. Check all boxes your nominee demonstrates as a caring role model for others to emulate:

Dimension 1 — Demonstrate an asset-based commitment to students and their success.

Dimension 2 — Demonstrate social and emotional intelligence in our interactions, particularly when resolving conflict.

Dimension 3 — Approach everyone (peers, supervisors, employees, students, and visitors) with mutual respect, kindness, and professionalism.

Dimension 4 — Exhibit interpersonal support and empathy for the perspectives and circumstances of others.

Dimension 5 — Acknowledge and celebrate others' professional achievements and personal successes.

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* 14. Please provide a brief narrative describing a specific example of how your nominee represents the 3Cs as a shining star for others to learn from and look to as a role model.