Focus Awards Nominations

Nominations for the Focus Awards are accepted year-round. Please complete the following form to make your nomination today!

Focus Awards Nomination

Complete this form to make your nomination of a Purdue University community member who has made an outstanding contribution in the area of disability accessibility.

Your Name(Required)

Prefix First Last

Your Department(Required)

Your Email(Required)

Your Phone(Required)

Your Affiliation with Purdue(Required)

Campus Address

Street Address Building/Room City State / Province / Region ZIP / Postal Code Country

Nominee's Name(Required)

Prefix First Last

Nominee's Department(Required)

Nominee's Campus(Required)

Nominee's Email(Required)

Nominee's Phone(Required)

Nominee's Affiliation with Purdue(Required)

Nominee's Campus Address

Street Address Building/Room City State / Province / Region ZIP / Postal Code Country

Catergory you are making you nomination for(Required)

Please include a statement explaining how the nominee meets the award criteria. You may also upload a document below.(Required)

File

Accepted file types: pdf, doc, xlsx, Max. file size: 32 MB.