2017 CUTC-ARTBA Award for Administrative Leadership Nomination Form

Nominator:
Street Address:
Street Address Line 2:
City:
State/ Province / Region:
Postal / Zip Code:
Country:
Phone:
E-mail:
Relation to Nominee:
Nominee Name:
Street Address:
Street Address Line 2:
City:
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Nominee Phone:
Nominee E-mail:
Please select a salutation:
Nominee's Current Employer:
Street Address:
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State/ Province / Region:
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Does the nominee hold a full-time, non-tenured or non-tenure track position within a transportation education or research program at a CUTC member university?:
In 250 words or less, explain why this individual should receive the “CUTC/ARTBA Award for Administrative Leadership:*
Upload: 1. Supporting Biographical Information*
Word Verification: