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SNHCL Clinical, Adjunct, & Affiliate Nomination Form

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Please complete the below form to nominate an individual for a School of Nursing and Healthcare Leadership Clinical, Adjunct, or Affiliate appointment. 

If you have more than one nomination, you will need to complete this form separately for each nominee.

Nominations are due no later than the last Friday in January each year. 

If you have any questions, please reach out to the SNHCL Academic Services Director.

Requestor's Information
Name
Type of Nomination
Nominee Information
Nominee's Name
Rationale for Nomination

Please upload your rationale for nomination by clicking on the below 'Browse' button. Please ensure that your nomination is on School of Nursing and Healthcare Leadership letterhead, dated, and signed.

One file only.
15 MB limit.
Allowed types: pdf.