UC San Diego CSW Sponsored TWIN Nomination Form

About the Award

Since the inception of the Tribute to women & Industry (TWIN) in 1980 by the YWCA, the program has paid tribute to over 2,348 women. With the purpose of augmenting the efforts of companies in recognizing the outstanding achievements of their female employees, the award highlights the work of exceptional women that have been nominated and honored by their firm’s executives, co-workers, families and friends and also recognizes the role of employers in providing advancement opportunities for women in the workplace. Every year, the University of California, San Diego Chancellor’s Advisory Committee on the Status of Women accepts nominations and sponsors a candidate for this award. The candidates for the award should meet the following criteria:

  • Occupy a management, executive or professional position with responsibility for a major component of an organization, OR a position traditionally held by men within the organization
  • Outstanding achievement within organization, exceeding scope of normal position
  • Nominee and company must agree to provide information requested on nomination form; all honorees with be photographed for inclusion in the TWIN Souvenir Booklet
  • Candidate can only be nominated once by the same organization

CONTACT INFORMATION

Name of Nominee:Title:

Home Address:Years in Current Position:Years at this Location:

Office Phone:Home Phone:Email:

NOMINEE PROFILE

Primary job responsibilities (brief description of nominee’s responsibilities and duties in current position)

Is this a position traditionally held by men within your organization? ( ) Yes ( )No

(If yes, please provide brief explanation)

Main achievement(s) in current position (brief description of nominee’s main achievements within the scope of her current position

Outstanding achievements, exceeding normal scope of responsibility (please give up to 3 examples of nominee’s outstanding achievements)

Additional Community activities, professional associations, volunteer work (please provide information on other organizations and activities in which the nominee is involved)

ADDITIONAL INFORMATION

Nominated by:Title:Email:Phone:

Relationship to Nominee:Address:

ENDORSEMENTS FOR NOMINATION

Name:Title:Email:Phone:

Name:Title:Email:Phone:

You may attach additional information as needed.

Please return this application and all associated documents to Office for Equity, Diversity, and Inclusion, UC San Diego, 9500 Gilman Drive MC 0056, La Jolla, CA, 92093-0056, or send as email attachment to no later than Friday, March 3, 2017.

CSW TWIN 2017-Staff Nominee