Award Nomination Form

Nominator Information

Please note: If your nominee is selected to receive the Gerry and Bob Virgil Ethic of Service Award, you may be asked to assist in drafting a brief biography of your nominee for the award program and website.

First Name *

Last Name *

Preferred Pronouns

Email Address *

Phone Number *

Campus Box

Off-Campus Address

Not required if you entered a campus mail address above.

Off-Campus Address

City

State/Province

Zip/Postal

Country

Relationship to WashU *

Please specify your affiliation(s) with WashU (school, department, organization, etc.)

Additional Nominators

Not required if you are the sole nominator.

Nominee Information

First Name *

Last Name *

Preferred Pronouns

Email Address *

Phone Number *

Campus Box

Off-Campus Address

City

State/Province

Zip/Postal

Country

Relationship to WashU *

Please specify nominee’s affiliation(s) with WashU (school, department, organization, etc.) *

For student nominees, please include school/major and class year. For staff/faculty/retiree nominees, please include job title. For alumni nominees, please include school/major and graduation year.

Is this a new or repeat nomination? *

New

Repeat (repeat nominations must include a new submission form and updated description of nominee)

Description of Nominee

In the box above, please insert a letter that addresses the topics listed below. Complete nominations which paint a full picture of a nominee’s qualifications for the award are strongly recommended, as the nomination you submit may be the only information available to the selection committee about your nominee.

We recommend you compose your nomination in a separate text file, outside of this form, and then cut/paste your final written submission. This will allow you to compose and edit your submission, as well as save a copy for your personal files.

Please be sure your letter addresses the following items:

Your relationship with the nominee.
The reason you believe your nominee should receive the Ethic of Service Award.
Description of your nominee’s engagement with and contributions to the St. Louis community, and how it goes above and beyond professional responsibilities.
Examples, stories, and details about how your nominee meets the award criteria.

** Please note that your entry must be in plain text **

Characteristics of Award Honorees

The award committee anticipates a broad range of nominations that define service to community in many different ways. While the committee is not looking for a specific type of community involvement, characteristics of award honorees might include one or more of the following:

Considers service to the community to be a way of life
Goes above and beyond professional responsibilities in their service to St. Louis
Dedicated to serving others
Creates impact on community issues of concern
Demonstrates selflessness
Positively influences people’s perception of St. Louis
Believes in the St. Louis region
Inspires compassion and action in others
Shows compassion for others
Exudes passion for a social, cultural, or economic issue

Please include a list of individuals (name, email address, mailing address) who should be notified if the nominee receives the Gerry and Bob Virgil Ethic of Service Award

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The nomination window for our 22nd Annual Gerry and Bob Virgil Ethic of Service Awards is open until Nov. 24, 2024.

Nominator Information

Nominee Information

Characteristics of Award Honorees

The nomination window for our 22^ndAnnual Gerry and Bob Virgil Ethic of Service Awards is open until Nov. 24, 2024.