Board of Trustees

2010 Staff Awards Information Form

	*Award Recipient's Information*
Last Name
First Name
Department
Work or Home Address
Address (cont.)
City
State
Zip Code
Work Phone
Job Title
Start Date At Clemson University
Nominee's Classification	Classified Staff Unclassified Staff
Recipient's Supervisor
Supervisor's Work Phone
Supervisor's Job Title
	*Award Information*
Name of Award
Date Received
Reason Award Given
Name of Group Presenting Award
	*Special Recognition Information*
Other Information for Special Recognition
Person Nominating (Required)
E-mail or Phone

Please submit by Friday, April 2, 2010.
The award must have been awarded between
January 1, 2009 and December 31, 2009.

All awards will be verified.

By clicking on "Submit Form" below, the information you have provided will be emailed. For multiple submissions, use the "Reset" button after you have clicked "Submit."

If you require further information send email.

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2010 Staff Awards Information Form

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