SEOTY Social Impact and Belonging Nomination Form

26-27 Social Impact and Belonging-Student Employee of the Year Nomination Form

2026-2027 Social Impact and Belonging Student Employee of the Year Nominations should be submitted via this form. To be eligible nominees must be a UW-Madison student in a Student Help position at UW-Madison or at one of our Federal Work-Study partners. Any questions should be directed to Kristina Rittel (kristina.rittel@wisc.edu).

Company
This field is for validation purposes and should be left unchanged.
Nominee's Information
Nominee's Name*
First Last
Nominee's Job Title*
Nominee's Department*
Nominee's Email*
Nominee's Phone Number
Nominee's Job Description-Please provide a brief summary of the nominee's job duties.*
Nominator's Information
Nominator's Name*
First Last
Nominator's Department*
Nominator's Email*
Nominator's Phone Number*
Selection Criteria
Outstanding Social Impact and Belonging Student Employee of the Year Nominees will be evaluated on their contributions. The Outstanding Social Impact and Belonging category is defined as demonstrating awareness, attitude, knowledge, and skills required to engage and include all people. In your letter, please include specific examples of the nominee's contributions. All nominations must be two pages or less.
Nomination Letter
Outstanding Engagement and Inclusion Nomination Upload*
Max. file size: 24 MB.

Please upload your nomination.

26-27 Social Impact and Belonging-Student Employee of the Year Nomination Form

Nominee's Information

Nominator's Information

Selection Criteria

Nomination Letter