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* 1. First Name

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* 2. Last Name

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* 3. Institution

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* 4. Title

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* 5. Address 1

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* 6. City

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* 7. Country

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* 8. Phone:

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* 9. Email:

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* 10. Nominee's Supervisor's Name ( if known)

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* 11. Nominee's Supervisor's Phone Number (if known)

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* 12. Nominee's Supervisor's Email Address

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* 13. How long have you known this member and in what capacity?

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* 14. Please explain how this member represents an “up and coming” ACUA member who has made significant individual contribution(s) in the areas of internal audit, compliance, or risk management that furthers the mission of ACUA. The award is intended to spotlight, cultivate, and recognize those developing the personal initiative and commitment to positively impact higher education auditing that is essential to ACUA continued success.

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* 15. Attach Additional Documents for Specific Reasons for Nominations Here

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* 16. As applicable, provide examples of how this nominee has taken the personal initiative and commitment to positively impact ACUA by developing or contributing to a new program or member service for ACUA.

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* 17. Below are examples of how a member can meet the award criteria. Please elaborate on how the member may have contributed in the following areas, if applicable (use boxes below).

a. serving as a valuable member of an ACUA committee;
b. spearheading new ACUA initiatives;
c. completing committee or special project work;
d. redesigning or enhancing an existing member service; and/or
e. doing specific professional outreach on behalf of ACUA.

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* 18. Additional Comments?

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* 19. Can a member of the Awards Committee contact you for more information?

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