Outstanding Adjunct Faculty Award Nomination Form

Use this form to nominate an adjunct faculty member for the Geo2YC Division's Outstanding Adjunct Faculty Award.

Note: You need to fill out the form in one sitting. Leaving this page without hitting SUBMIT at the bottom will erase all of the data you have entered.

Nominator InformationYour Name:

Your Email Address:

Nominee InformationName of Nominee:

Email of Nominee:

If email isn't the best way to contact the nominee, please provide us with a phone number or the best way to contact them.

Name of School:

Classes Taught by Nominee:

Briefly (in one or two paragraphs) detail why you think this adjunct faculty deserves recognition.

Institution Information

If selected as an outstanding adjunct instructor, the Geo2YC Division would like to highlight this recognition with his/her administration and institution. We therefore request contact information for the appropriate college administrator as well as marketing office.

Name of Adjunct's administrator (Department Chair, Dean, President of Community College, etc.):

Email Address of Administrator (to receive a letter of recognition):

Name of representative from public relations office (or whatever office best fits):

Email address for public relations office:

Name Email *Please type the two distorted words into the box below. Separate them with a space. This helps us prevent spam. For more details or help click the question mark.

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