Cornerstone Nominations

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*

Select

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?*

Select or enter value

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:*

Select or enter value

Send me a copy of my responses

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