KAPPA OMICRON NU ADVISER AWARD OF EXCELLENCE Nomination Form _____________________________________________________________________ Name of Nominee _____________________________________________________________________ Nominating Chapter _____________________________________________________________________ College/University Number of years nominee has been adviser to this chapter_____________ Why does your chapter feel that the nominee should be selected for the Kappa Omicron Nu Adviser Award of Excellence? Describe how the nominee has facilitated the work of the chapter in the following areas. Leadership Development National Priorities (Leadership for a Culturally Diverse Society, Mentoring: The Human Touch, Ethical Dimensions of the Scholar, Commitment to Writing) Describe the nominee's involvement with Kappa Omicron Nu beyond the local level. List the names of people who have been asked to write letters of support for this nomination. (Please limit the total number of letters to 5.) _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ Signature of Chapter President Date _________________________________________________________________ Address (Street) ______________________________________________(___)______________ (City, State, ZIP Code) Telephone Submit the nomination form, vita, and letters of support by March 15 to: Kappa Omicron Nu Awards Committee 4990 Northwind Drive, Suite 140 East Lansing, MI 48823-5031 Telephone: (517) 351-8335 _ FAX: (517) 351-8336