Jackson Rigney Award Nomination

2019 Jackson Rigney Award Nomination Form

This form is to be used to nominate an individual for the 2019 Jackson Rigney Award. You may complete the form in one sitting or use the "save and continue" option to return at a later time.

Nominator information
Nominator name
Prefix
*
First Name Last Name
Nominator email*
Nominator job title
Nominator college*
Please select your primary college affiliation.
Other college
Nominee information
Nominee name
Prefix
*
First Name Last Name
Nominee email*
Nominee College*
Please select your primary college affiliation.
Other college
Nominee job title
Nominee department
Nominee employment type
Which designation best describes the individual who you are nominating?
Number of years nominee has been employed at NC State
Documentation
Nomination letter
Should be submitted (and signed) by the nominator.
Drop files here or
Nominee's CV or resume
Should emphasize the impact that the nominee’s qualifications and achievements in international service at NC State or the world and be limited to 2 pages.
Drop files here or
Signature Page Upload*
Please scan and upload the nomination sheet that includes signatures by the nominator and the nominee's supervisor (e.g., Department Head) as a PDF document here.
Drop files here or

Accepted file types: pdf.
You may access a blank signature page here.
CAPTCHA
Name
This field is for validation purposes and should be left unchanged.

Save and Continue Later

Office of Global Engagement

2019 Jackson Rigney Award Nomination Form

Nominator information

Nominee information

Documentation