Two Thumbs Up Nomination Form
Nominate any faculty/staff member who has made a difference in your experience here at USC as a student with a disability. This individual should have exemplary characteristics and should have gone above and beyond to help you. (You can nominate more than one individual, just fill out another form!)
*Everyone who is nominated will be recognized through the Office of Student Disability Services.*
Your email address
Medical or Law Student
Name of faculty/staff member being nominated
Email address of faculty/staff member
Department of the faculty/staff member
How did this individual positively impact your experience?
How did this individual make a difference to you as a student with a disability?
The nominated faculty/staff members will be recognized for their contributions to your success. Feel free to tell them personally or send them an email in addtion to nominating them. It is always apprecaited when students say thank you!
Do Not Fill This Out