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FACULTY EXCELLENCE IN LEADERSHIP & SERVICE AWARD (ELSA)
Nomination Form

Recognized by Deans, Managers, Department Chairs, & Classified Professionals

Nomination deadline: 5pm on Wednesday, October 8, 2026
1.I nominate the following Faculty Member, Counselor or Librarian: (Full-time and part-time faculty are eligible)(Required.)
2.Discipline of the Faculty Member, Counselor or Librarian(Required.)
3.Status of the Faculty Member, Counselor or Librarian(Required.)
4.FOR QUESTIONS #5-10:  please select TWO or more questions to answer.  We ask that you include SPECIFIC examples of their contributions. (Brief 2-5 sentences)
5.How has the Faculty Member, Counselor or Librarian demonstrated significant accomplishment in TEACHING?
6.How has the Faculty Member, Counselor or Librarian demonstrated excellence in MENTORING of faculty colleagues? Both leadership mentoring in committees as well as teaching mentoring through pedagogy, curriculum, and general success of junior faculty members.
7.How has the Faculty Member, Counselor or Librarian demonstrated exemplary engagement in activities that promote value of DIVERSITY, and the importance of EQUITY and INCLUSIVENESS at GWC?
8.How has the Faculty Member, Counselor or Librarian's PROFESSIONAL CONTRIBUTIONS enriched their field of teaching, professional organizations, or committees, and generated a significant and positive impact on student success that brings recognition to themselves at GWC?
9.Provide examples of how the Faculty Member, Counselor or Librarian's COMMITMENT TO STUDENTS is apparent in participating in and providing enriching academic activities outside of the classroom; developing workshops/programs to support students as they move to transfer/graduate; advising, guiding, and supporting student needs for successful internships, research opportunities, professional school acceptance, including review of materials and letters of recommendation.
10.Provide examples of how this Faculty Member, Counselor or Librarian DEVELOPED EQUITY-MINDED MENTORSHIP FOR TARGETED STUDENT POPULATIONS (BIPOC/HUG, minoritized groups, post-incarceration, re-entry students, former foster youth, veteran, differently abled, trans and gender non-conforming) or for populations underrepresented in specific academic areas (e.g., women in STEM, men in traditionally female areas like Nursing)
11.Your name (first/last)(Required.)
12.Your title or discipline(Required.)
13.If you are a Committee Chair nominating a faculty member who is serving on your committee, please enter the name of the committee.