2023 Dale P. Parnell Attendance

The college's Chief Executive Officer must submit this form for the faculty member the institution nominates for recognition. Only faculty members of institutional member colleges are eligible to be considered for this recognition. Each nomination must include a personal statement speaking to the criteria for the recognition, one letter of recommendation from the faculty member's supervisor or CEO, and one print-quality (300 dpi) headshot of the faculty member.

Please complete this form before 4:59 p.m. ET on December 15, 2023.

First Name: *

Last Name: *

Institution: *

Job Title: *

Email Address: *

Are you planning to attend the breakfast honoring Dale P. Parnell Distinguished Faculty on Monday, April 8? *

Yes

No

If no, please provide the mailing address where you would like to receive your commemorative medal.

Street Address

Address Line 2

City

State

Zip Code

Phone Number

Upload a personal statement addressing how the nominee meets the Dale P. Parnell Faculty Distinction recognition criteria. (PDF only) *

Upload a letter of recommendation. Must be on official college letterhead with signature. (PDF only). *

Upload a hi-resolution headshot of the faculty member. (Must be 300 dpi - NO PDFs or camera phone images) *

Submission of nominations for awards, registration, and attendance at, or participation in, AACC meetings and other activities constitutes an agreement by the registrant and AACC to allow the use and distribution of the registrant or attendees’ image or voice in photographs, videotapes, electronic reproductions and audiotapes of such events and activities by AACC. *

Agree

CEO First Name *

CEO Last Name *

CEO Email Address *