PSRSLA Nominations

PSRSLA Nomination

Nominee

* Indicates required field

Institution *

Nominees should be juniors or seniors.
Only one student can be nominated from each institution.

Department *

Nominee's Name *

First

Last

Full name of the student as it should appear on the certificate. If you want to include the middle name, type it after the first name.

Rationale for the Nomination *

Description of why this student most deserves this award, i.e. how the student promotes the study of Russian and models the behavior of a committed Russian student. The student need not have the top GPA, nor be a Russian major, but should demonstrate an active dedication--in course work, outside activities, attitude--to the study of Russian language and culture.

Nominator(s)

Since the nomination should reflect the consensus of the program or department, the letter should be submitted by department chair, or director of undergraduate studies, or language program director.

Name *

First

Last

At least one nominator must be an ACTR member with dues paid at least through April of the current calendar year.
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Position *

Nominator's Institutional Email *

ACTR member with dues paid through April of the current calendar year? *

Yes No

Name of 2nd Nominator *

First

Last

Name of 3rd Nominator *

First

Last

Position *

Email *

ACTR member with dues paid through April of the current calendar year? *

Yes No

ACTR member with dues paid through April of the current calendar year?? *

Yes No

Would you like to receive the certificate *

electronically only by mail only

Nominator's mailing department address for the certificate *

Line 1

Line 2

City

State

Zip Code

Country

Additional notes to the Committee *

Submit