Recommendation Form

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Recommendation Form
2017 PLAN Class
Recommender Information
Nominator Name: _____________________________________________________________
Title: ________________________________
Department: ___________________________
Campus Box: _________________________
Campus Phone: ________________________
Email: _______________________________________________________________________
Is the nominee aware that you are recommending them for PLAN? Yes __ No __
Nominee Information
Nominee Name: _______________________________________________________________
Title: ________________________________
Department: ___________________________
Campus Box: _________________________
Campus Phone: ________________________
Email: _______________________________________________________________________
PLAN Program Dates: February 23, 24, & 25, 2017
April 20, 21, & 22, 2017
September 7, 8, & 9, 2017
Thursday and Friday sessions will run 8:00 a.m. – 5:00 p.m.
Saturday sessions will run 8:00 a.m. – 12:00 p.m.
Lunch and Learns in March, May, July, August, September and
November, 2017 (11:45am-1:00pm unless otherwise noted)
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