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Commuter Students

Traveling Star Self-Nomination

Purpose: To recognize undergraduate commuter students who have positively impacted Stony Brook University by contributing to the success of campus departments/offices.

Procedure:
1. Please complete the self-nomination form below and submit.
2. Forward the Faculty/Staff Nomination Form link to the nominator you list below.*
3. An email will be manually sent to you to confirm receipt of your self-nomination- therefore, please allow 24-48 hours for a response.

*Please note that the information you include on this form cannot be saved and should be submitted before navigating away from this page to obtain the link you will be forwarding to your nominator. You may also right click on the link noted above and select "Open in New Tab" or "Open in New Window" to access the link without losing the information you've entered below.

Current Semester:
Fall
Spring

Current Year:

STUDENT INFORMATION

Name:

Class Year:

Your Role in Office/Department:

Hometown:

Email address:

Phone #:

NOMINATOR INFORMATION
Information listed below should be that of the faculty/staff member
from which you will are requesting support of your nomination.

Name:

Title:

Office/Department:

Email address:

Phone #:

PERSONAL STATEMENT
Please use the space below to provide a brief personal statement
about why you believe you are a good candidate for this award.




 

 

Title IX prohibits sex discrimination in all forms, including sexual violence and/or harassment. Contact Marjolie Leonard, Interim Director for Title IX and Risk Management, Office of Institutional Diversity and Equity, 201 Administration Building, Stony Brook University, Stony Brook, NY 11794-0251, Marjolie.Leonard@stonybrook.edu (p) 631.632.6280.
 
See www.stonybrook.edu/titleix for more information and/or to report an incident.
 
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