Chancellor's Achievement Award Application/Nomination Form

Organization Names:

Contact Person:

Phone Number:

Email:

Local Address:

Name of Nominator (optional):

Phone Number:

Organization Information

What year was the organization founded at UW-Whitewater?

As of February 1st, how many active members does the organization have?

Award Information:

Please use the space below to form answers to the following questions for events occurring in the 2012-2013 academic year. Please limit responses to 250 words per question.

1. Describe the best methods that the organization has used to promote scholarship/academic achievement among its members.
   
2. Describe in detail the community service project, which had the greatest impact on the organization.
   
3. Tell us about meaningful leadership training activities sponsored by the organization.
   
4. Describe how UW-Whitewater and the surrounding community are better places because of the organization.
   
5. Describe what you believe to be the greatest accomplishment of the organization.
   
6. Address why you believe the organization is deserving of this award.
   

If you have any supporting documents, please send them as a PDF to campusawards@uww.edu. Please include the award and your name in the subject line.

Please submit and return all award materials no later than 11:59 pm on Monday, April 8, 2013.