Name
Major
Address
E-mail Address (optional)
Home Phone
Work Phone
Department
You may answer all or none of these questions. If you wish, you may prepare a separate or supplementary statement which might help the committee evaluate the nomination. You may submit nominations for two or more professors by filling out additional copies of this form. All nominations will be confidential. Thank you for participating in this program and for all your continuing concern for Samford University.
1. Describe this professor’s influence on your academic development:
2. Describe this professor's influence on your personal development and values:
3. What qualities of this person’s teaching style have influenced you most (if not already answered in preceding statements)?
4. Describe any occasions or actions which might illustrate the influence that this professor had on you and your fellow students:
5. Would you have any objection to our making a copy of your recommendation available to the nominee?
6. Is there anything else you would like to share which would help us as we consider your faculty nominee?
Please respond by May 2, 2008.