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About SENCER: Nominate a Leadership Fellow

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Your Information
First Name*:
MI:
Last Name*:
Academic Title*:
Institution*:
Department*:
Campus Address (including building, street, or box #):
Street Address*:
Street Address2:
City*:
State*:
Zip*:
Phone*:
Fax:
E-mail*:
Nominee's Information
First Name*:
MI:
Last Name*:
Academic Title*:
Institution*:
Department*:
Campus Address (including building, street, or box #):
Street Address*:
Street Address2:
City*:
State*:
Zip*:
Phone*:
Fax:
E-mail*:

Areas of Importance

We are asking you to provide brief responses to the following five general areas of importance to the National Fellowship Board.

1. Please describe your relationship to the person being nominated (How do you know the nominee, in what capacity(ies), and for how long?)

2. Please describe the nominee’s involvement with SENCER as you know it and say why you think the person should be selected as a SENCER Leadership Fellow.

3. If the person you nominate is appointed as a Fellow, briefly tell us what two or three things you would most hope the nominee could do/accomplish as a Fellow (this may be for your campus, for a particular field or discipline, for a region, or anything else you would like us to know)