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Awards Self-Nomination Form
Department of Communication

Note: Eligibility will be verified by the Department of Communication

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    Last name

    First name

    Street Address

    City

    State and ZIP

    Permanent Street Address (if different)

    Permanent City (if different)

    Permanent State and ZIP (if different)

    E-mail address

    Student ID Number

    Choose appropriate concentration
    Communication Studies
    Media Studies
    Corporate and Organizational Communication

    Minor? (indicate which)

    Other major(s)? (indicate which)


    Are you an Honors Student? Yes No

    Expected date of graduation

     

    Please identify the award for which you would like to be considered. A list of criteria and qualifications for each award is available here.


    Outstanding Senior in Communication Studies

    Outstanding Service Award

    Outstanding Senior in Media Studies

    Outstanding Senior in Communication

    Outstanding Senior in Corporate & Organizational Communication
     

    Please list and describe any internships you have completed to date. Be sure to include any accomplishments and/or special recognitions.

    Company Position Title

    Did you receive academic credit for your internship? Yes No

    Duties and Accomplishments


    Please describe any research projects you have completed (e.g. Bachelor's Essay, Independent Study, PR Campaigns, etc.). If any are "near completion" or "in progress," include those also.

    Title

    Faculty Advisor

    Description:

    Please list any relevant presentations or publications of this work:

    Please identify any outside experience relating to your major and/or field of study (e.g. work, community service, volunteering, PRSSA, COMM Club, Lambda Pi Eta). Be sure to include the name of the organization, your title or position (if any), and how you feel it relates to your major/field of study.

    Please list and describe your participation in other extracurricular/academic activities. Be sure to include awards, officer positions, or significant accomplishments.

    Please list any academic honors you have received.

    Please include anything else you think we should know as we consider you for this/these award(s).

    Of all the things you have included in this application, please identify the three you are most proud of and tell us why.

    Deadline for sending this form is April 11.

     

     

Thank you.

 
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