2013 Dr. Mary Jo Sekelsky Staff Appreciation Award Nomination Form

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The Mary Jo Sekelsky Staff Appreciation Award is awarded to one outstanding non-student staff member who has demonstrated outstanding commitment and service to the University of Michigan-Flint students. The criteria for this award are as follows: responsiveness to student needs, positive attitude towards students and dedication to the mission statement of the University and their division.

Nominee

Staff Member's First Name *

Staff Member's Last Name *

Staff Member's Office or Department *

Staff Member's E-Mail Address

Commitment/Service *

Additional Information Please provide any additional information on the nominee you feel necessary.

Nominator

First Name *

Last Name *

E-Mail Address *

Would you like the Nominee to know you nominated them? * YesNo

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Student Organization Center | 213 University Center - 303 East Kearsley St. | Flint, Michigan 48502
Phone: 810.424.5316 | Fax (810) 762-3023 | Dept.Student_Life@umflint.edu

University of Michigan-Flint

2013 Dr. Mary Jo Sekelsky Staff Appreciation Award Nomination Form

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