Faculty Diversity Award Nomination

Diversity Logo
Mailing Address:
The Office of Diversity and Community Engagement,
The University of Texas at Dallas,
800 W. Campbell Road, MP26,
Richardson, TX 75080

Physical Location:
Multipurpose Building (MP) 3.207,
Phone: (972) 883-4566
Fax: (972) 883-4565


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Nominee

                   Last Name                  Middle Init.         First Name

Name:*    

Address:*

                

Phone:*   

School in which nominee teaches:*   
School of Arts & Humanities
School of Behavioral and Brain Sciences
School of Economic, Political, and Policy Sciences
Eric Johnson School of Engineering and Computer Sciences
School of Interdisciplinary Studies
School of Management
School of Natural Sciences and Mathmatics
Other

Department(s) in which the nominee teaches

Status of Nominee:*   
Tenured
Untenured
Full time
Part time
Active (currently teaching)
Former (taught previously, but not currently)
Retired
Emeritus
Endowed Chair
Assistant Professor
Associate Professor
Professor
Lecturer
Graduate Student
Post Doctoral Fellow
Staff
Other

Number of years at UTD :

Nominated by

                   Last Name                  Middle Init.         First Name

Name:*    

Address:*

                

Phone:*   

Write a narrative justification supporting this nomination: