Nomination Form Barton/Nelson Award for Leadership/Service If you are a human and are seeing this field, please leave it blank. Fields marked with an * are required Provide the Nominee Information below. Nominee Name * Nominee Title * Nominee Institution * Nominee Contact Information Address * City * State * Zip * Country Email * Phone * Fax List CoHEsion (SETA, Ellucian or Platinum sponsors) activities that the nominee has been active in (including but not limited to conference presentations, committees, boards, and councils). * Explain why this person should receive this award. * List other persons that would support this nomination by email or phone. (Optional) Submitted by: (Required) Your Name * Your Institution * Your Title * Your Address * Your City * Your State * Your Zip * Your Country Your Email * Your Phone * Your Fax Qualifications for Nominees: Any current CoHEsion member who has regularly attended CoHEsion or Ellucian conferences is eligible for nomination. A member who has received an award shall not be eligible for that award for a period of three (3) years.