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Executive Excellence Nomination Form

Please note that Impact UH-Executive Excellence is nomination-based. Applicants cannot nominate themselves.

If you have someone in mind who would benefit from participation in this program, please fill out the form below. All fields are required.

Who are you nominating?


Please tell us about you!



The following criteria should be kept in mind as you complete the form below:

Nominee's experience and qualifications:
  • Years of experience
  • Value to the team
  • Value to the organization
  • Level of performance (high-potential as well as exemplary performers)
  • Succession strategy issues
  • Ensures high levels of responsibility and excellence in themselves and others
Nominee's strategic competencies:
  • Customer focus
  • Strategic thinking/direction
  • Facilitating change
  • Problem solving
  • Decision making
  • Communication
  • Business acumen
  • Conflict resolution
  • Project management
  • Coaching/mentoring
  • Delegating responsibility
  • Promoting inclusion
  • Time management
  • Retention/succession
  • Alliance building
Would you like this list in a pdf for easy reference? Click here.
How would this nominee's participation in the Executive Excellence Program benefit your department/university?


What strengths has this nominee demonstrated that would benefit other participants in the program?
What challenges and/or competencies should be addressed for this nominee through participation in the program?
How has this nominee exemplified leadership quality in the department and beyond?

Please review all your data carefully. Make sure we have valid email addresses for your nominee and for you. This will ensure that you each receive a confirming email.