Cornerstone Nominations

This nomination form allows us to get a sense of your nominee as a whole person. We encourage you to use stories in your nomination whenever possible.

Nominator's Information

Name

Title

School/Unit/Department

University Medical Center, School of Architecture, UVA Finance, etc.

Nominator's Email

Nominator's Phone Number

Phone

Nominee's Information

Nominee's Name

Nominee's Title

Nominee's School/Unit/Department

University Medical Center, School of Architecture, UVA Finance, etc.

Nominee's Email

Nominee's Phone Number

Phone

Employment Type

Approximate years employed at UVA

Years in current position

Nominee's Number of Direct Reports

Nominee's Approximate Number of Indirect Reports

Statement of Nomination

Have you nominated this candidate previously?

Why are you nominating this candidate?

Consider this candidate's significant accomplishments

What do you hope the candidate will learn?

Consider how you see this candidate contributing in the future

What can this candidate bring to the Program?

Consider the skills this candidate offers to the program and the cohort

Tell us a brief story about how this candidate has demonstrated their leadership skills.

This candidate is a possible future successor to a key role in their current area:

Send me a copy of my responses

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