Faculty/Staff Nomination Form

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Name:(*)

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Department:(*)

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Title:(*)

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Class associated with nomination:(*)

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Clearly describe how the professor promotes an inclusive and accessible classroom.(*)

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Provide an example of when the professor catered to diverse learning styles and abilities.

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Provide an example of how the professor challenges and supports students with disabilities.

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Any additional information you would like the selection committee to know?

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This information will not be shared with the selection committee.

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