Terry O'Banion Award Nomination Form

SUBMISSION DEADLINE SEPTEMBER 1st, 2022

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Email^*

First Name

Last Name

Phone Number

Name of the program

College Name

College Address

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Street Number

Street Address

City

State

Country

Zip Code

Names and titles of the program deliverers

How long has the program been in existence?

Why was the program developed? What need was it designed to satisfy? How had that need been recognized?

What are the goals and objectives of the program?

How was the program designed? Who participated in designing it?

How does the program operate? What are its main elements or processes?

Describe the challenges you have overcome?

What impact has the program had? To what extent has it achieved its objectives? How have program outcomes been evaluated?

Define the ease of replicating this program in other educational settings. What advice would you give to others trying to replicate it?

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NCSD

The National Council
on Student Development
301 Largo Road, MD 20774