Community Partner Award Nomination Form

Community Agency:
Primary Contact Person:
Mailing Address:
Email:
Phone Number:
Name of Nominator, Organization and/or Homecoming Team:
Nominator Email:
Nominator Phone Number:
Please briefly describe your working relationship with the nominee:
Briefly describe the organization:
Examples of how the community partner has reached out to the campus community:
How the community partner has worked with the campus to meet community needs:
The impact the community partner has had on strengthening student learning and development: