Qualtrics Survey | Qualtrics Experience Management

THE OFFICE OF LEARNER WELL-BEING AND SUCESS WOULD LIKE TO CELEBRATE THE HEALTHY HABITS AND POSITIVE ENERGY OF OUR LEARNERS. IF YOU WOULD LIKE TO ACKNOWLEDGE A PEER, PLEASE COMPLETE THIS NOMINATION FORM (Please note we can only accept one nomination per person):

NOMINATED BY: (unless you wish to be anonymous)

Name:

Email:

NOMINEE DETAILS:

Name:

LEVEL OF LEARNER (undergrad or postgrad):

Date of your submission:

REASON FOR NOMINATION:

(Please help us get to know the candidate. What efforts do they take to live or promote a healthy and balanced lifestyle? Why do they deserve to be recognized?)

Thank you for your nomination. We are so pleased to celebrate the nominee!