Outstanding Women of Color PB Poorman Awards Nomination Page 2023 "*" indicates required fields You are invited to select one faculty or staff member, student, or community member for each award.Choose Award * Required Outstanding Women of Color in Education Award Dr. P.B. Poorman Award for Outstanding Achievement on Behalf of LGBTQ+ People Institution * RequiredChoose InstitutionUW-Eau ClaireUW-Green BayUW-La CrosseUW-MadisonUW-MilwaukeeUW OshkoshUW-ParksideUW-PlattevilleUW-River FallsUW-Stevens PointUW-StoutUW-SuperiorUW-WhitewaterHonoree Type * Required UW-Faculty/ Staff Student Community Member Honoree Name * Required First Middle Initial Last Please submit the name that we should use on the Honoree's certificate.Honoree Title * Required Honoree Department * Required Honoree Preferred Pronouns She, her, hers He, him, his They, them, theirs Other Honoree Mailing Address * RequiredThis is the address where we will ship the honoree's award package if they are selected. Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Honoree Phone * RequiredHonoree Email * Required Biographical StatementAccepted file types: doc, pdf, Max. file size: 20 MB.Upload a biographical statement that outlines the honoree’s contributions as defined by the criteria specific to each award (250-300 words). Please note these statements will be printed in the ceremony program. See past examples of biographical statements here. Nominator Name * Required First Last Nominator Title * Required Nominator Email * Required Nominator Phone * RequiredUpload a high-resolution headshot suitable for display onlineAccepted file types: jpg, png, jpeg, gif, Max. file size: 20 MB.Confirmation * RequiredThe selection of honorees is entirely campus-based: Chancellors, in consultation with appropriate experts, will select one honoree for each award. Please select this box as confirmation that this honoree has been approved by your Chancellor.