1. SEYMOUR WEISS EXCELLENCE IN TEACHING AWARDNOMINATION ACCEPTANCE FORM
      2. Full Name:        Division:
      3. Title:
      4. Discipline:
      5.                                                                  
      6. ________________________________________________  
      7. ________________________________________________

 

 

 


SEYMOUR WEISS EXCELLENCE IN TEACHING AWARD
NOMINATION ACCEPTANCE FORM

 

 


Full Name:              Division:

 



Title:

 



Discipline:

 

 


I ACCEPT the nomination for the Delgado Seymour Weiss Excellence in Teaching Award, which requires the following:

 

 

 
· I AGREE to complete the preparation process for the Excellence in Teaching Award, which includes submission of a packet.

 

 
· I AGREE to attend Delgado’s Spring Commencement Exercises for this academic year.

 

 
· I AGREE to attend the National Institute for Staff and Organizational Development (NISOD) Conference if I am the recipient of the award. I understand that Delgado will pay for my travel to the Conference:

Dates:


Location (City/State):

 


I DECLINE the nomination for the Delgado Seymour Weiss Excellence in Teaching Award.

 


 

 


________________________________________________  

Faculty Member’s Signature      Date    

 

 

Received:

 

 


________________________________________________

Division Dean’s Signature    Date

 

 

 

 

Form 2230/001 (2/12)

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