ࡱ> QSP{` BbjbjFF .L,,1 %BBBBBBBV8,V$"    |b@$ih|8iB>  >>8BB  >dB B >BB  P\0M 6*M M B|Br\.88`6>>>>VVV$ zdVVVzVVVBBBBBB NICHOLLS STATE UNIVERSITY OFFICE OF THE PRESIDENT Nomination for the award of an Honorary Degree The Honorary Doctorate is the highest form of recognition offered by Nicholls State University and is awarded for demonstrated excellence in the fields of public affairs, the sciences, arts, humanities, business, and philanthropy. Recipients of Honorary Doctorates must be distinguished, with achievements both relevant and appropriate to the University. Eligibility for nomination is restricted to persons of state, national or international stature. Nominees who have made extraordinary contributions to the University will be welcomed, but must also have made significant contributions beyond the University and its local region. Notwithstanding this policy, the Honorary Doctor of Letters may be awarded as recognition for exemplary and distinguished community service, including service to Nicholls State University. Nominees shall not be current members of the Board of Supervisors for the University of Louisiana System, employees of the University, or individuals who have direct political, legal or budgetary authority over the University. (For the full policy, see Policy 5.7.12. Honorary Degrees.) 1. Name of nominee:  FORMTEXT       2. Professional title:  FORMTEXT       3. Name of nominator:  FORMTEXT       --------------------------------------------------------------------------------------------------------------------- Please provide the information requested below. Attach additional sheets if required: 4. Describe the nominee s achievements:  FORMTEXT       5. Explain the humanitarian value or contribution to society of the nominee.  FORMTEXT       6. Explain the relevance of the nominee s work to Nicholls State University.  FORMTEXT       7. Summarize of the honors and distinctions received by the nominee previously, including honorary degrees.  FORMTEXT       8. Indicate, if possible, for the nominee (this may be part of the C.V. in item 11): a. date of 24cd  T V ̵p[I[7[%[#h;B*CJOJQJ^JaJph#h0kB*CJOJQJ^JaJph#hE%B*CJOJQJ^JaJph)h0kh0kB*CJOJQJ^JaJph/h0kh0k5B*CJOJQJ\^JaJph/h0kh0k5B*CJOJQJ\^JaJph)h0kh0kB*CJOJPJ^JaJph-h0kh0kB*CJOJPJQJ^JaJphh0kh0kB*CJaJphh0kh0kB*CJaJph)h0kh0kB*CJ OJQJ^JaJ ph34cd~ (*~lnnp68b $7$8$H$a$gd( $7$8$H$a$gd0k $7$8$H$a$gd0kbBB $&(*VͯwbD-wb,h2eh0k>*B*CJOJQJ^JaJph;jth2ehza>*B*CJOJQJU^JaJph)h0kh0kB*CJOJQJ^JaJph,h0kh0k>*B*CJOJQJ^JaJph@jh2eh2e>*B*CJOJQJU^JaJmHnHphu;jh2ehza>*B*CJOJQJU^JaJph,h2eh2e>*B*CJOJQJ^JaJph5jh2eh2e>*B*CJOJQJU^JaJphVXlnpz|~|>@ͯw`K9K9K'#hW B*CJOJQJ^JaJph#h0kB*CJOJQJ^JaJph)h0kh0kB*CJOJQJ^JaJph,h0kh0k>*B*CJOJQJ^JaJph,h2eh0k>*B*CJOJQJ^JaJph@jh2eh2e>*B*CJOJQJU^JaJmHnHphu;jh2ehza>*B*CJOJQJU^JaJph,h2eh2e>*B*CJOJQJ^JaJph5jh2eh2e>*B*CJOJQJU^JaJph@LNjlnprtѺꨓfO1f;j\h2ehza>*B*CJOJQJU^JaJph,h2eh2e>*B*CJOJQJ^JaJph5jh2eh2e>*B*CJOJQJU^JaJph#h2eB*CJOJQJ^JaJph)h(h(B*CJOJQJ^JaJph#h0kB*CJOJQJ^JaJph-h0kh0kB*CJOJPJQJ^JaJph0h0kh0kB*CJOJPJQJ^JaJo(ph)h0kh0kB*CJOJQJ^JaJph 468:<PRT^`bİr]F(İ;jh2ehza>*B*CJOJQJU^JaJph,h2eh2e>*B*CJOJQJ^JaJph)h0kh(B*CJOJQJ^JaJph#h2eB*CJOJQJ^JaJph)h0kh0kB*CJOJQJ^JaJph,h0kh(>*B*CJOJQJ^JaJph&h0k>*B*CJOJQJ^JaJph5jh2eh2e>*B*CJOJQJU^JaJph@jh2eh2e>*B*CJOJQJU^JaJmHnHphubd*. 468<8,,,,,,-.-X-Z-\-$7$8$H$`a$gd0k $7$8$H$a$gd0k$07$8$H$^`0a$gd( $7$8$H$a$gd(bdԻ|hK20h2eh2e>*B*CJOJPJQJ^JaJph9jh2eh2e>*B*CJOJPJQJU^JaJph'h(B*CJOJPJQJ^JaJph'h0kB*CJOJPJQJ^JaJph'hW B*CJOJPJQJ^JaJph-h0kh0kB*CJOJPJQJ^JaJph0h0kh0kB*CJOJPJQJ^JaJo(ph)h0kh0kB*CJOJQJ^JaJph,h2eh(>*B*CJOJQJ^JaJph &(*,.Ÿ†oXC1C#h2eB*CJOJQJ^JaJph#h0kB*CJOJQJ^JaJph)h0kh0kB*CJOJQJ^JaJph,h0kh0k>*B*CJOJQJ^JaJph-h0kh0kB*CJOJPJQJ^JaJph0h2eh(>*B*CJOJPJQJ^JaJphDjh2eh2e>*B*CJOJPJQJU^JaJmHnHphu9jh2eh2e>*B*CJOJPJQJU^JaJph?jDh2ehza>*B*CJOJPJQJU^JaJph   "$&0248:<,jU>U,U*U#h;B*CJOJQJ^JaJph,h0kh0k>*B*CJOJQJ^JaJph)h0kh0kB*CJOJQJ^JaJph@jh2eh2e>*B*CJOJQJU^JaJmHnHphu;jh2ehza>*B*CJOJQJU^JaJph,h2eh2e>*B*CJOJQJ^JaJph5jh2eh2e>*B*CJOJQJU^JaJph#h2eB*CJOJQJ^JaJph#h0kB*CJOJQJ^JaJphbirth  FORMTEXT       b. educational background  FORMTEXT       c. employment history  FORMTEXT       9. Additional comments:  FORMTEXT       10. Contact information for the nominee: Name:  FORMTEXT       Postal address:  FORMTEXT       Phone number:  FORMTEXT       Email address:  FORMTEXT       11. If possible, C.V. and other documents (attach): NOMINATION DEADLINE: Friday, March 6, 2009 Return the application to Dr. Carroll Fal, , ,,,$,&,(,2,4,6,8,l,n,p,,ƫvU>ƫ,h0kh0k>*B*CJOJQJ^JaJph@jhzahza>*B*CJOJQJU^JaJmHnHphu;j0hzahza>*B*CJOJQJU^JaJph,hzahza>*B*CJOJQJ^JaJph5jhzahza>*B*CJOJQJU^JaJph#hzaB*CJOJQJ^JaJph#hr$B*CJOJQJ^JaJph)h0kh0kB*CJOJQJ^JaJph,,,,,,,,,,,,,,,,,ƥƐygP2ƥƐy;jhzahza>*B*CJOJQJU^JaJph,hzahza>*B*CJOJQJ^JaJph#hzaB*CJOJQJ^JaJph,h0kh0k>*B*CJOJQJ^JaJph)h0kh0kB*CJOJQJ^JaJph@jhzahza>*B*CJOJQJU^JaJmHnHphu5jhzahza>*B*CJOJQJU^JaJph;jhzahza>*B*CJOJQJU^JaJph,,,0-2-F-H-J-T-V-X-Z-\-pO8!,h0kh\>*B*CJOJQJ^JaJph,h\h0k>*B*CJOJQJ^JaJph@jh\h\>*B*CJOJQJU^JaJmHnHphu;jh\hza>*B*CJOJQJU^JaJph,h\h\>*B*CJOJQJ^JaJph5jh\h\>*B*CJOJQJU^JaJph)h0kh0kB*CJOJQJ^JaJph,h0khza>*B*CJOJQJ^JaJph&h0k>*B*CJOJQJ^JaJph \-----@.B......@/B/D/F/H/J/L/N/P//// $7$8$H$a$gd($7$8$H$`a$gd0k $7$8$H$a$gd0k\------------.....ƫvU>,ث#hW B*CJOJQJ^JaJph,h0kh0k>*B*CJOJQJ^JaJph@jh2eh2e>*B*CJOJQJU^JaJmHnHphu;jh2ehza>*B*CJOJQJU^JaJph,h2eh2e>*B*CJOJQJ^JaJph5jh2eh2e>*B*CJOJQJU^JaJph#hB*CJOJQJ^JaJph#h2eB*CJOJQJ^JaJph)h0kh0kB*CJOJQJ^JaJph.,...0.:.<.>.B.\.^.`.t.v.x.......˰zczQ3zczQ;jh2ehza>*B*CJOJQJU^JaJph#h2eB*CJOJQJ^JaJph,h0kh0k>*B*CJOJQJ^JaJph)h0kh0kB*CJOJQJ^JaJph@jh2eh2e>*B*CJOJQJU^JaJmHnHphu5jh2eh2e>*B*CJOJQJU^JaJph;j|h2ehza>*B*CJOJQJU^JaJph,h2eh2e>*B*CJOJQJ^JaJph...........://F/H/L/ͯybyPyP>y>,#h\B*CJOJQJ^JaJph#h0kB*CJOJQJ^JaJph#h;B*CJOJQJ^JaJph,h0kh0k>*B*CJOJQJ^JaJph)h0kh0kB*CJOJQJ^JaJph@jh2eh2e>*B*CJOJQJU^JaJmHnHphu;jdh2ehza>*B*CJOJQJU^JaJph,h2eh2e>*B*CJOJQJ^JaJph5jh2eh2e>*B*CJOJQJU^JaJphL/P/x/~/////0@j@l@@@@@@@rpr_rNr=!hr$5B*OJQJ\^Jph!hCZu5B*OJQJ\^Jph!hZ,5B*OJQJ\^JphU!hmM5B*OJQJ\^Jph'h0kh0k5B*OJQJ\^Jph)h0kh0kB*CJOJQJ^JaJph)h0kh(B*CJOJQJ^JaJph,h(h(>*B*CJ OJQJ^JaJ ph)h(h(B*CJ OJQJ^JaJ ph#h(B*CJOJQJ^JaJphcon, Provost and Vice President for Academic Affairs, P.O. Box 2002, Thibodaux, LA 70310 For more nominations forms, please go to:  HYPERLINK "http://www.nicholls.edu/president" http://www.nicholls.edu/president or on the internal M drive, under Admins, NSU Forms, Award Nomination Forms     PAGE  PAGE 1 /B@@@AAA*BZB\B^B`BbBfBhBlBnBrBtBxBzBBBBBBh]hgd0k &`#$gd* $7$8$H$a$gd0k@@ AAAAtAvAxAAAAABB&B׽xbK;.;hL5OJQJ\^Jhr$h\5OJQJ\^J,h\5>*B*CJOJQJ\^JaJph*hr$h0k5>*B*OJQJ\^Jph"hr$hZ,0J5OJQJ\^J9jhr$hZ,5>*B*OJQJU\^Jph*hr$hZ,5>*B*OJQJ\^Jph3jhr$hZ,5>*B*OJQJU\^Jph'hr$hZ,5B*OJQJ\^Jph'hr$h0k5B*OJQJ\^Jph&B(B,B2BXBZB\B^B`BbBdBhBjBnBpBtBvBzB|BBBBBBBBBBBBBBztztpztzeztphE%0JmHnHuhCZu hCZu0JjhCZu0JUh%?jh%?UhZ,/hZ,hZ,5B*CJOJQJ\^JaJph&hZ,hZ,5CJOJQJ\^JaJ*hr$hZ,5>*B*OJQJ\^Jphhr$h\5OJQJ\^JhL5OJQJ\^Jhr$5OJQJ\^JBBBB $7$8$H$a$gd0k,1h/ =!"#$% tDText1tDText2tDText3tDText8tDText9vDText10vDText11vDText13vDText14vDText15vDText12tDText4tDText5tDText6tDText7DyK "http://www.nicholls.edu/presidentyK \http://www.nicholls.edu/presidentyX;H,]ą'c@@@ NormalCJ_HaJmH sH tH DA@D Default Paragraph FontRiR  Table Normal4 l4a (k(No List4 @4 0kFooter  !.)@. 0k Page Number6U@6 Z, Hyperlink >*B*phW L34cd?@78MNLz{| ! D E i j k ! [ \  - . / 0 1 3 4 6 7 9 : < = F G H S T U X 0@0@0@0@0@00@00@00@00@0@0@0@0@000000000000@0@000000@000000@0@0000@0@00@00@00@00@0@00@0@0@0000000@0@0000000000000@0y0@0y0y0y0y0y0@0y0y0@0@0y0 ny0 X {00˦y0 $$$' V@b,,,\-..L/@&BB #$b\-/BB "%B  +7=9EK 7CIeqw   / ; A T ` f W FFFFFFFFFFFFFFFX  '!!Text1Text2Text3Text8Text9Text10Text11Text13Text14Text15Text12Text4Text5Text6Text7,:8f 0 U X  >LJx B g X AUZBUT.CULDULEULWFUWGUWHUlIUJUKUu X   X   = *urn:schemas-microsoft-com:office:smarttags PlaceType= *urn:schemas-microsoft-com:office:smarttags PlaceNameV *urn:schemas-microsoft-com:office:smarttagsplacehttp://www.5iantlavalamp.com/ ħ   1 1 3 3 4 4 6 7 9 : < = U X +LZ! $ 1 1 3 3 4 4 6 7 9 : < = U X 33333 6Jdxz{  Y Y           , , 0 1 1 3 3 4 4 6 7 9 : < = U X  67Jdexz{  Y Y           , , 0 1 1 3 3 4 4 6 7 9 : < = U X \r$Z,e1%?@JmMzac2e0kCZu(FOU_*W LL-;j*E%@d W P@P PPPP,P.P@UnknownGz Times New Roman5Symbol3& z ArialI& ??Arial Unicode MS5& zaTahomaK@Palatino Linotype"1hXfXf  !4, , 2HX ?0k2NICHOLLS STATE UNIVERSITYvpaa-cjfVPAA-SBAOh+'0 $0 P \ ht|NICHOLLS STATE UNIVERSITY vpaa-cjfHonDegreeNomForm VPAA-SBA2Microsoft Office Word@Ik@(q\@(q\ ՜.+,D՜.+,\ hp  Nicholls State University, G NICHOLLS STATE UNIVERSITY Title 8@ _PID_HLINKSA|GK-"http://www.nicholls.edu/president)  !"#$%&()*+,-.0123456789:;<=>?ABCDEFGIJKLMNORRoot Entry F \TData '1Table/M WordDocument.LSummaryInformation(@DocumentSummaryInformation8HCompObjq  FMicrosoft Office Word Document MSWordDocWord.Document.89q