#TSCINtegrate Award Nomination

The #TSCINtegrate Award is an award that recognizes TSC employees’ efforts to help promote healthy living principles (i.e. nutrition, sleep, exercise, stress management, mindfulness, etc.) through personal example, influencing peers and/or students, and/or serving the community within Tippecanoe County/the greater Lafayette area.

Please complete the following survey to nominate a peer for this award. Thank you.

1. What is your first name (Sponsor)? *This question is required.

2. What is your last name (Sponsor)? *This question is required.

3. What is the email that you want us to use to confirm your nomination (Sponsor)? *This question is required. This question requires a valid email address.

4. What is the best phone number to reach you at (Sponsor)? *This question is required.

5. If we were to call you, what time(s) are the best to get a hold of you (check all that apply)? *This question is required.

Weekdays - Morning
Weekdays - Afternoon
Weekdays - Evening
Saturday - Morning
Saturday - Afternoon
Saturday - Evening
Other - Write In Please enter an 'other' value for this selection.

6. What building do you primarily work in (Sponsor)? *This question is required.

8. What is the first name of the person you are nominating for the #TSCINtegrate Award (Nominee)? *This question is required.

9. What is the last name of the person you are nominating for the #TSCINtegrate Award (Nominee)? *This question is required.

10. What building does the person that you are nominating primarily work in (Nominee)? *This question is required.

12. How does the nominee demonstrate/promote healthy living principals (i.e. nutrition, sleep, exercise, stress management, mindfulness, etc.) through personal example, influencing peers and/or students, and/or serving the community within Tippecanoe County/the greater Lafayette area (response can be 50 to 500 words)? *This question is required.