2017 Susan B. Anthony Award
Nomination Form
The University of North Florida Women’s Center’s prestigious Susan B. Anthony Award is presented
annually to one member of the University community who has made significant contributions to
enhancing gender equality at UNF. The Susan B. Anthony Award honors an individual who has an
outstanding record of leadership, service and contributions that promotes women’s growth at UNF.
Eligibility: University of North Florida students, faculty and staff (current and past) are eligible to
receive this award. Current UNF Women’s Center paid staff are not eligible to receive the award.
Nominees whose contributions may otherwise go unrecognized are particularly welcome. Selfnominations are acceptable. The award will be made at the Women’s History Month Luncheon scheduled
for Wednesday, March 15, 2017.
To nominate a candidate for the Susan B. Anthony Award, please complete the information below and
return this form to the UNF Women’s Center, Building 2, Room 2100, or submit by e-mail to
[email protected] by 5 p.m., Friday, January 20, 2017.
For more information, contact the Women’s Center at (904) 620-2528.
Nominee’s Information
Name __________________________________________________________
UNF Affiliation:
___Staff
_____Faculty
______Student
If student, Major _________________________ Year __________________
Department___________________________ Position____________________
Phone Number: ______________________ E-mail Address________________
Nominator’s Information
Name ____________________________________________________________
Department ______________________________ Position _________________
Phone Number __________________________ E-mail ____________________
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Susan B. Anthony Award Nominee Information
How long and in what capacity do you know the nominee?
Please describe the individual’s contributions to enhancing gender equality and promoting
women’s growth on campus.
Nominator’s Signature _____________________________
Date____________________
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