The Leticia Campodonico Award Nomination Form 2021

LETICIA CAMPODONICO AWARD NOMINATION FORM The INACAC Inclusion, Access, and Success (IAS) Committee is seeking nominations for the Leticia Campodonico Award The award will be presented to the winner at the 2021 INACAC Conference The Leticia Campodonico Award is presented to an individual who has encouraged and supported any underrepresented and underserved students in their transition from high school to college Award winners must be nominated by peers and also be a member of IACAC Members of the IAS Committee will determine the award winner after reviewing all nominations This year the recipient of the award will also receive a $250 monetary stipend, which was sponsored by the family of Leticia Previous Leticia Campodonico Award winners include: Lauren Mixon (Indiana University Bloomington) Brenda Bassi (University of Indianapolis); Janet Huck (Indianapolis Public Schools); Roger Blalock (Purdue University); Dexter Jordan (Rose-Hulman); Walter Blake (Wabash College) ; Barbara Kjeldsen (Kokomo HS); Joy Borton (Crispus Attucks Medical Magnet HS); Beth Petrie (Lawrence University); Mona Bowe (Saint Mary’s College); Shenita Piper (Earlham College) Dr David Davis (Ball State University); Kimberly Stewart-Brinston (IUPUI) Larry Gonzalez (Indiana University); Carolyn Upshaw (Lawrence North HS); Charles Haynes (Ball State University); Velma Wade (Ivy Tech Community College); Ivan Hernandez (Ivy Tech Community College); Claudia Suarez (Ivy Tech Community College); Jon Riester (Hanover College); Catisha Toney (Lighthouse College Prep, Gary); Tara Evans (Franklin College); Karen Bush (MSD Pike High School) The Leticia Campodonico Award Nomination Form Name of Nominee (please print or type): _ Title Institution: Nominator Name/Email/Phone Directions: Provide a brief summary (max 500 words) for your nominee The summary should include examples of the nominee’s involvement with underrepresented and under-served students and any significant impact they have made working with these students Please submit the nomination form and any additional documents no later than January 15, 2021 All documents can be sent via mail or email to: Nichelle Whitney Inclusion, Access, & Success Indiana University Bloomington 940 E 7th Street Bloomington, IN 47405 Email: whitneyn@indiana.edu .. .The Leticia Campodonico Award Nomination Form Name of Nominee (please print or type): ... your nominee The summary should include examples of the nominee’s involvement with underrepresented and under-served students and any significant impact they have made working with these students... impact they have made working with these students Please submit the nomination form and any additional documents no later than January 15, 2021 All documents can be sent via mail or email to: Nichelle