*Only complete nominations will be considered. Self-nominations are permitted in all categories.



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Award Nominee:(*)
Please enter the nominee's name.

Title/Classification:(*)
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Campus Address:(*)
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School or Unit:(*)
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Phone:(*)
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Category:(*)

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In the space below, please explain in 500 words or less how this individual or organization exemplifies diversity leadership at UAB. Your narrative should address each of the three award criteria (significance, implementation, and impact):
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Nominator:(*)
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Office, Organization, Affiliation (if any):(*)
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Campus Address:(*)
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School or Unit:(*)
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Phone:(*)
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E-mail:(*)
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Letter of Support:(*)
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Letter of Support:

Letter of Support:

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