Departmental Teaching Award Nomination Form • UCLA Department of Psychology

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Please use the form below to nominate a Department of Psychology instructor for consideration for a departmental teaching award (click here for past awardees). These nominations will also be taken into account for consideration for the university-wide Distinguished Teaching Award. Questions? Please contact the Undergraduate Advising Office via MyUCLA Message Center.

Please select one of the following awards*

Distinguished Faculty Teaching (ladder) [titles include Professor, Assistant Professor, Associate Professor, etc.]

Distinguished Faculty Teaching (non-ladder) [titles include Adjunct Professor, Lecturer, etc.]

Name of Instructor for Nomination*

Course Taken with Instructor*

Quarter and Year Course Taken*

Please explain below why you want to nominate this instructor for a teaching award (minimum of one paragraph)*

As part of the nomination process, we may need to follow up with you for additional information or a letter of support. Please provide the following contact information:

Your Name*

First Last

E-mail Address*

UID*