University Service Award Form

This year the University of Texas at Austin School of Social Work Alumni Network has created an opportunity for Social Work Alumni to honor a UT School of Social Work Employee who has had a significant influence on students/alumni/or the profession and it recognizes the achievements of individuals working on behalf of the University through service to students, alumni, and/or the profession. All current or previous faculty, staff, adjuncts and emeritus employees of the UT Austin School of Social Work are eligible to be nominated. Just fill in the form below and click on the 'Submit your nomination' button.

Deadline March 18, 2013.


Nominee



Nominator

In the box below, please briefly describe the achievements of the nominee based on one or more of the following criteria:

  • How he/she demonstrates a commitment to the development of the social work profession.
  • How he/she demonstrates commitment to students, alumni, and/or community.
  • Provides a positive influence on the educational experience of University Students.
  • Demonstrates a commitment to the development of the social work profession through research, teaching and/or service.
  • How he/she demonstrates a dedication to the School of Social Work.



(Please enter a brief statement supporting your nomination.)

If you wish to submit a nomination on paper, include the nominees contact information, both home and work, as well as, their current or past job title at the School of Social Work, your own contact information, and your reasons for nominating.

Send to:
University Service Award
c/o UTSSW Alumni Network, School of Social Work,
1 University Station, D3500
Austin, TX 78712-0358
Or fax to: (512)471-9600 Or e-mail to: jluna-idunate@mail.utexas.edu