PORTLAND STATE UNIVERSITY'S DIVERSITY ACTION COUNCIL
PRESIDENT'S DIVERSITY INITIATIVE AWARD
2005 Nomination Form

Submission Deadline: 5:00 p.m. April 15, 2005

Portland State University's Diversity Action Council is requesting nominations for the first annual President's Diversity Initiative Awards. The awards will be presented at the Council's annual Focus on Diversity Awards Reception to be held near the end of spring term (date and location TBA).

The Diversity Action Council wishes to recognize two faculty members, two students, and two staff members of the University who exemplify and honor the President's Diversity Initiative, which focuses on the following:

• Enhancing the institutional environment, curriculum, and scholarship;
• Increasing numbers of students from under-represented groups;
• Increasing numbers of persons from under-represented groups in faculty, staff, and administration; and
• Strengthening connections with diverse communities in the region.

For more information on the Diversity Initiative, go to www.president.pdx.edu/Initiatives/diversity/diversityhome.phtml.

To make a nomination, please provide the following information:

Nominee's Name:
Mailing address or PSU Mailcode:
Telephone Number:
E-mail Address:
If a student, class standing (graduate or undergraduate) and course of study:
If faculty, name of department:
If staff, name of department or office:

Nominator's Name:
Mailing address:
Phone number:
E-mail Address:

In addition to completing the fields above, please submit a one-page, typed response to the appropriate set of questions from the list below. Please also submit at least two letters of support from others who know the nominee well. These letters should address how the nominee exemplifies and honors the spirit of the Diversity Initiative. Finally, please submit any other relevant supporting documentation illustrating the nominee's contributions to diversity at Portland State University.

Faculty Questions:
1. How does the faculty member advocate on behalf of the Diversity Initiative regarding issues that support ways to increase diversity of students, faculty, and staff at the University?
2. How does the faculty member help create a welcoming, safe, and positive environment for faculty, staff, and students of color at the University?
Staff Questions:
1. How does the staff member, through his or her daily activities, advocate on behalf of the Diversity Initiative?
2. How does the staff member work with others to increase the number of persons of color in his or her department or office?
Student Questions:
1. Through his or her involvements and engagements on campus, how does the student advocate for the goals outlined in the Diversity Initiative?
2. How is the student involved in achieving the goals of the Diversity Initiative on the campus, in the classroom, and in the community?

For each person nominated, please send this completed form, a one-page response to the relevant set of questions, at least two letters of support, and any other relevant supporting documentation to the Center for Academic Excellence, 303 Cramer Hall, Portland State University, to the attention of Kelle Lawrence, or you may submit materials via e-mail to lawrencek@pdx.edu. To be considered, nominations must be received no later than 5:00 p.m. April 15, 2005. Thank you.