RAPS-Sheet-2017-February

OUTSTANDING PORTLAND STATE RETIREE AND SPECIAL RECOGNITION AWARDS 2017 RAPS Award Form Award Type (please check one): ____ Outstanding PSU Retiree ____Special Recognition Nominee____________________________________________________________________________________ Nominee’s position(s) at PSU or community status___________________________________________________ Please outline in the space below the accomplishments of your nominee. Attach an additional page if needed. Nominator____________________________________________________________________________ Contact information (phone and email)_____________________________________________________ Please send nominations by US mail to RAPS, Portland State University, PO Box 751, Portland OR 97207 or by email (you don’t have to use the form) to Adam Jones, RAPS Office Manager, at rapsmail@pdx.edu. Deadline for receipt of nominations is Thursday, April 20, 2017. Questions? Please contact Charlie White, Chair of the Awards Committee, at chaswhite@comcast.net or 503232-3089. 4

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