General OTM Form

Month: (Select Month) January February March April May June July August September October November December	Year: (Select Year) 2005 2006 2007 2008 2009 2010
Category: (Select Category) Advisor Community Executive Board Member First Year Experience NRHH Resident Assistant Spotlight Student
Nominee's School: University of Virginia at Wise	Region: SAACURH

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Nominee:	Nominator:
Address:	Address:
Phone:	Phone:
Email Address:	Email Address:
On Campus Population:	Chapter Size (NRHH):
Please explain the outstanding contributions of the nominee during the month of nomination (i.e., how the nominee addressed recognition, motivation, and support for you or your organization). Maximum Word Count: 600
World Wide Web nominations must be typed on this form and must not exceed 600 words. Nominations not following this format may not be considered for a national award. No additional material will be considered. Nominations must be submitted by midnight on the 10th day of the month following the month of nomination. Revised April 2005       Please give a short 3-4 sentence summary of this OTM.