Member Highlights Form

Your Name

First Last

UWM email

Nominee Information

Nominee's name (if different)

First Last

Preferred email (optional)

Title

Department

Years in service

Please provide short descriptions of any honors/recognitions to be referenced in the announcements.

Do we have permission to share the above honors/recognitions on the ADC website and in future council acknowledgements?

Please upload a recent photo.

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