Employment Tenure Scholarship being Delivering HEI Name of Faculty Teaching Discipline Program Title Status (Permanent/ applied for (If known/prospective) (Last Name, First Name, Middle Initial) Nonpermanent) (Full/Part Time) I certify that the information provided herein, and in the enclosed documents, is true and correct. Name and Signature of HEI President Date Submitted:
Name of Faculty (Last Name, First Name, Middle Initial) Teaching Discipline Scholarship being applied for Program Title Delivering HEI (If known/prospective) Employment Status (Full/Part Time) Tenure (Permanent/ Nonpermanent) I certify that the information provided herein, and in the enclosed documents, is true and correct. Name and Signature of HEI President Date Submitted:
shei-nomination-form.docx