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Distinguished Professor
Nomination Form

 

Nominee Information:
 
First Name
Last Name
Position
Department

Nominator Information:
 
First Name
Last Name
Position
Mailing Address
 
  ,  
Telephone
Email Address


Please provide 6 references:

Prefix   Phone
First Name   Fax
Last Name   Email
Address   Brief description
of credentials
   
City    
State    
Zip    

 

Prefix   Phone
First Name   Fax
Last Name   Email
Address   Brief description
of credentials
   
City    
State    
Zip    

 

Prefix   Phone
First Name   Fax
Last Name   Email
Address   Brief description
of credentials
   
City    
State    
Zip    

 

Prefix   Phone
First Name   Fax
Last Name   Email
Address   Brief description
of credentials
   
City    
State    
Zip    

 

Prefix   Phone
First Name   Fax
Last Name   Email
Address   Brief description
of credentials
   
City    
State    
Zip    

 

Prefix   Phone
First Name   Fax
Last Name   Email
Address   Brief description
of credentials
   
City    
State    
Zip    


Statement by Nominator

Describe discipline-specific criteria for scholarly excellence and how the nominee meets these criteria.


Summary of Impact and Significance

List the candidate's two most significant contributions to his/her field.

Describe the most important reasons why he/she should be awarded the rank of Distinguished Professor (for example, candidate’s local, national or international impact).


Achievements

Research, Scholarship, and Creative Works

Originality and Significance

Publications and Editorships


Recognition and Honors

National

International


Teaching Excellence and Involvement (Undergraduate, Graduate, and Post Graduate)


Value to the University of Utah and the State of Utah (Past and Present)

 

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