Campus Being a Difference Award Form

School Name*

Name of Person Submitting this Form*

StudentCPT Role*

Email Address:*

Date needed in hands

Date to appear on certificate

Mailing address to send certificates

Student Nomination Criteria
Nominees will be considered on the following criteria:

- Is a student currently enrolled in classes on campus.
- Has shown exemplary conduct with students, faculty and the community.
- Has taken the lead or provided significant support to ethical practices or programs on campus.
- Exhibits personal values and actions that demonstrate integrity and ethics.
- Has faced a recent challenge and overcome it with integrity, or taken other recent steps to show commitment to ethics.
- Has taken the lead or supported efforts emphasizing strong ethics and leadership development

Name of Student Honoree

Student Honoree Email Address

Student Honoree Classification

Academic Major of Student Honoree

How does the nominee display leadership on campus?

How has the nominee displayed ethical behavior?

Why is this nominee deserving of the Campus BADA?

Additional Info (Optional)

Faculty Nomination Criteria
Nominees will be considered on the following criteria:

- Holds any faculty position on campus.
- Has shown exemplary conduct with students, faculty and the community.
- Has taken the lead or provided significant support to ethical practices or programs on campus.
- Exhibits personal values and actions that demonstrate integrity and ethics.
- Has faced a recent challenge and overcome it with integrity, or taken other recent steps to show commitment to ethics.
- Has taken the lead or supported efforts emphasizing strong ethics and leadership development

Name of Faculty Honoree

Faculty Honoree Email Address

Faculty Department Name

Courses taught by faculty (if any)

How does the nominee display leadership on campus

How has the nominee displayed ethical behavior?

Why does the nominee desrve this award?

Additional Information (Optional)

Attach Photos and/or Flyers
Please share as many photos you would like to include (optional)

Send me a copy of my responses

Email address