2001-2002 Commission XVII – Commuter Students & Adult Learners
Outstanding Program and Individual Contribution Awards
Online Nomination Form

Nomination Deadline:  January 7, 2002

Please check the award for which you are making a nomination.
Use one form per nomination.  
When finished, click the "Submit" button at the bottom of the page.
Click the "Reset" button to reset the form.

Award Type
Please select one Outstanding Public Relations Program Outstanding Adult Learner Program Outstanding Commuter Program Outstanding Student Affairs/Faculty Collaboration Commuter/Adult Learner Perspective by a Student Development Professional Commuter/Adult Learner Perspective by a New Student Development Professional Commuter/Adult Learner Perspective by a Student Outstanding Service to Commission XVII Award

Name of Program Nominated (Program Awards): 

Name of University:

Name of Individual responsible for Program:

Name of Individual Nominated (Individual Awards): 

 Office Address:

Office Phone:         Email Address:

Statement of Support: Please provide a statement in support of your nomination of the above individual or program for a Commission XVII award.  

Nominator’s Name:   

 Office Address:  

Office Phone:        Email Address:   

If you experience problems with this form, please contact Rob Wiese