Thank you for taking the time to recognize great constituent service by one of your External Affairs colleagues. Please choose one of these three easy ways to make a nomination:

• Complete this form
• Send us an email bvanroosendaal@support.ucla.edu and tell us who you are nominating
• Call HR Director Behnaz VanRoosendaal at 310-794-3497

Nomination Form
Today's Date:*
Your Name:*
Name of EA colleague you want to nominate:*
Please let us know about the person you are nominating, the person’s service to constituents, and any information you can provide about how the person reflects the four External Affairs service values of ease, belonging, impact and appreciation:* (or simply give us a call at 310-794-3497)
* indicates required field