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Faculty Recognition Award

*Indicates required field

Please use the form below to nominate a DSLCC faculty member whom you feel has made a positive impact on you, the college or the community at large.
We request either a phone number or e-mail address in the form, in case we need to follow up with you on your nomination information. Please rest assured that we will not send unsolicited e-mails, nor make unsolicited phone calls to your number. Thank you.
1.Name of nominated faculty member. Choose only one faculty member from the drop-down list below:(Required.)
2.Rationale for Nomination: (Please provide a brief narrative describing the activity, behavior, or contribution for which the nominee is being nominated.)(Required.)
3.Your name(Required.)
4.Your phone number
5.Your e-mail address:
6.Date of submission:(Required.)
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