Outstanding Performance Leave Award Nomination Form

This form corresponds to Vice President for University Administration PPS 8.01. Refer to this PPS when completing this form.

Name of person being nominated
For awards greater than 16 hours, the Department Head must discuss with the Vice President.
The nomination is based on which of the following criteria: *
Check all that apply.
The action by which the nominations are based align with which of the following Texas State Shared Value(s) : *
Check all that apply.