RAPS-Sheet-2015-February

OUTSTANDING RETIRED FACULTY AND STAFF AWARDS 2015 NOMINATION FORM The Retirement Association of Portland State (RAPS) invites nominations for the annual Outstanding Retired Faculty and Staff Awards, which will be presented at the PSU President’s Annual Luncheon on Thursday, April 16, 2015. The luncheon will be at University Place. Both members and non-members of RAPS are eligible for awards. The Outstanding Retired and Staff Faculty Awards recognize and honor faculty and staff retirees of Portland State who have excelled in at least three of the four following areas since retirement: a) service to the community, b) service to the university, c) professional/career achievements, and d) service to RAPS. Nominee;__________________________________________________________________________________________ Faculty____ Staff____ Address: __________________________________________________________________________________________________________________ Telephone: (____) ___________________ Title/Position/Department ___________________________________________________ If known: Degree(s): __________________________________________________________ Year(s): _______________________________ Please provide written information on the nominee’s notable achievements post-retirement in the areas listed below (at least three of the four below). Please be brief and limit responses to no more than one typed page for each factor mentioned. A) Service to the community: B) Service to the university: C) Professional/career achievements: D) Service to RAPS: Nominated by: ___________________________________________________________________ Phone #: _____________________________ email _________________________________________ If you have questions, please call Carissa Ponting, RAPS Office Manager, at 503-725-3447 or rapsmail@pdx.edu. Thank you for your nomination. Nominations must be submitted by Monday, March 6, 2015 to: Retirement Association of Portland State (RAPS) Koinonia House Portland State University P. O. Box 751 Portland, OR 97207-0751 4

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