Questions? Call Elsie Nisonen in the Convocation and Awards Office at 416-979-5000 ext.

3145


Name of Nominee: Program:

Telephone: Email:

Indicate Award category (check all applicable criteria):
Regularly demonstrates behaviours reflecting equity, diversity and inclusion, and champions the ideals of equity, diversity
and inclusion
Takes action to identify and address systemic barriers to full participation in university life and supports the university
community to be an inclusive and welcoming learning, working and living environment.
Develops unique/innovative programs that significantly enhance Ryerson's ability to facilitate full participation, and provide
opportunities for the entire Ryerson community to reap the benefits of studying and working in an equitable, diverse and
inclusive environment.
Committed to and takes action to serve underrepresented populations (among students/faculty/staff) to provide access and
opportunities to those who might not otherwise be part of our community, and once here may not be fully welcomed and
included.

Signature of Nominee: Date:

Name of Nominator: Department/Faculty:

Email: Telephone:

Signature of Nominator: Date:

Please check off the inclusion of the required documents (ensure all are included):
Completed Nomination Cover Page signed by both the nominator and nominee (electronic signatures are accepted).
Nomination Brief (1 to 2 pages) prepared and signed by the nominator.
Citation (no more than 150 words) suitable for public release, to be prepared by the nominator.
Minimum of 3 Letters of Support (not exceeding 1 page in length each) that provide specific examples of why the nominee
should be considered for the award from a broad spectrum of the Ryerson community, including students, faculty and staff.
Photo consent form.
NOTE: The nomination package must not exceed a total of 10 pages, all pages should be numbered consecutively. The
completed package should be submitted electronically to Elsie Nisonen, Convocation and Awards office at
enisonen@ryerson.ca by the deadline or paper versions can be submitted to KHS-47.
Deadline for nomination package submission: September 19, 2014 (Noon)
Recipients announced October 15, 2014 and Awards presentation: Fall 2014 at the recipients program departments award
presentation

PRIVACY PROTECTION FOR AWARD APPLICANTS: In accordance with Section 39(2) of the Freedom of Information and
Protection of Privacy Act (FIPPA), the information on this form is collected under the authority of the Ryerson University Act, 1977
and is needed to adjudicate the nomination or application for the above-mentioned award. All personal information that is collected
will be used, disclosed, stored, and destroyed in accordance with Ryerson University's Procedure for Protecting Restricted Information
and Providing Access to Information which is part of the Information Protection and Access Policy (see
http://www.ryerson.ca/about/vpadministration/asseets/pdf/InformationProtectionandAccessPolicy.pdf). If you have questions about
the collection, use and disclosure of this information by the university, please contact the Convocation and Awards office at
a2mackay@ryerson.ca.
Questions? Call Elsie Nisonen in the Convocation and Awards Office at 416-979-5000 ext. 3145



OBJECTIVE
The Alan Shepard Equity, Diversity and Inclusion (EDI) Award recognizes the outstanding achievements of one individual,
team, or organization in the Ryerson University community, who advanced equity, diversity and inclusion at Ryerson through
outstanding dedication and excellence in providing services for diverse populations, fostering an inclusive environment inside
and/or outside the classroom, and/or addressing equity.

The award for the individual recipient consists of a certificate and a monetary award of $1,000. The team achievement award,
presented to a group of 2 to 10 individuals, consists of individual certificates and a total monetary award of $2,000 to be shared
equally amongst the team members, should a team be selected.

ELIGIBILITY AND OBLIGATIONS
Who can be nominated?
Ryerson students and student organizations can be nominated.
NOTE: Individuals who have equity, diversity, and inclusion responsibilities and duties are not excluded from
consideration; however, it is understood that nominees contributions and work that is above and beyond their basic
responsibilities are being considered.
No individual can be nominated for more than one award in any given year, however the Awards Selection Committee
may choose to reassign a nomination to a different award category, based on the best fit with the evidence, with the
nominees agreement.
The nomination is valid only for the year in which it is submitted.
Nominations must be based on achievements within the past year.
By agreeing to be nominated, the nominee commits to cooperation with the nomination facilitator in providing
supporting evidence. The nominee will also commit, if selected as the recipient, to attending Ryerson Awards Night.

Who can submit a nomination?
Faculty, staff or students can submit nominations.

AWARD CRITERIA
The award will celebrate people who advanced equity, diversity and inclusion at Ryerson in one or more of the following areas:

1. Regularly demonstrates behaviors reflecting equity, diversity and inclusion, and champions the ideals of equity,
diversity and inclusion.
2. Takes action to identify and address systemic barriers to full participation in University life and supports the University
community to be an inclusive and welcoming learning, working and living environment.
3. Develops unique/innovative programs that significantly enhance Ryersons ability to facilitate full participation, and
provide opportunities for the entire Ryerson community to reap the benefits of studying and working in an equitable,
diverse and inclusive environment.
4. Committed to and takes action to serve underrepresented populations (among students/ faculty/ staff) to provide access
and opportunities to those who might not otherwise be part of our community, and once here may not be fully
welcomed and included.




Questions? Call Elsie Nisonen in the Convocation and Awards Office at 416-979-5000 ext. 3145
Demonstrated behaviours related to the above listed Ryerson values may include the following:

Award Criterion Examples
Regularly demonstrates behaviours reflecting equity,
diversity and inclusion, and champions the ideals of
equity, diversity and inclusion.
Served on departmental, faculty, and/or university committees
and championed EDI.
Demonstrated inclusive leadership in the capacity as a member of
a student organization or in the classroom.
Actively promoted/articulated the importance of EDI.
Takes action to identify and address systemic
barriers to full participation in University life and
supports the University community to be an
inclusive and welcoming learning, working and
living environment.
Developed, supported, and/or implemented administrative and
organizational structures to coordinate and monitor EDI progress
in a student organization
Institutionalized systemic processes that minimized and/or
eliminated barriers to EDI.
Championed policies and/or practices to make the learning
environment more inclusive, equitable and accessible.
Develops unique/innovative programs that
significantly enhance Ryersons ability to facilitate
full participation, and provide opportunities for the
entire Ryerson community to reap the benefits of
studying and working in an equitable, diverse and
inclusive environment.
Infused EDI into the curriculum and promoted pedagogical
strategies that encourage student involvement and facilitate
respect for diverse perspectives.
Provided professional development activities and educational
programs that assist all members of the Ryerson community in
the understanding of their own and other cultures.
Committed to and takes action to serve under-
represented populations (among students/ faculty/
staff) to provide access and opportunities to those
who might not otherwise be part of our community,
and once here may not be fully welcomed and
included.
Served diverse demographic populations to increase access and
participation in access related programs.
Created and/or implemented programs and activities to foster an
inclusive campus environment and climate at the department,
faculty or campus-wide levels.


Supporting Evidence Requirements
Evidence in support of the criteria must include some of the following:
A clear description of the specific initiatives, demonstrated qualities, or actions by the nominee as they relate to the
criteria.
Direct and indirect evidence of the impact on student experience or the work of others at Ryerson.
Samples of reflections from the nominee and from other participants on the goals, objectives and results of a specific
initiative related to the nomination.
Description and samples of work to demonstrate the relevant area of excellence.
Any additional evidence addressing a focus on the relevant criteria.

The range and diversity of support for the nominee (e.g. from students, alumni, colleagues, administrators, etc.) will be
reviewed as well as the range and complexity of contributions.
















Questions? Call Elsie Nisonen in the Convocation and Awards Office at 416-979-5000 ext. 3145

NOMINATION PROCESS
Any member of the Ryerson Community (faculty, staff or students) can nominate someone for the Alan Shepard Equity,
Diversity and Inclusion Award. To do so, they must:
1. Obtain the nominees permission.
2. Prepare, in collaboration with the nominee, a nomination package of their accomplishments and contributions that meet
the award criteria and eligibility.
3. Submit the nomination package to Elsie Nisonen enisonen@ryerson.ca by the specified deadline for consideration by
the selection committee.
4. If the nominator is a student, they are encouraged to contact the Dean or Senior Directors Office for assistance in the
compilation of the nomination package, in order to ensure that the submission reflects a full range of the nominees
contributions of which a student nominator may not be fully aware.

There is no limit on the number of nominations for the Alan Shepard Equity, Diversity and Inclusion Award from any given
individual. All submitted nomination files will be reviewed by the selection committee. The committees mandate is to ensure
that high quality candidates are identified and to ensure an appropriate match exists between the candidates achievements and
the criteria for the award.

NOMINATION PACKAGE
The completed nomination package must not exceed a total of 10 pages. The nomination file should clearly address the award
criteria.

The required components of the award nomination package are:

A Nomination Brief (1 to 2 pages) prepared and signed by the nominator. The Nomination Brief should clearly
address the nominees achievements according to the awards criteria. In essence, it should function as an executive
summary, including specific examples, and reference to specific details included in the package.

Team Nomination Instructions:

o Teams must have between 2 and 10 individuals.
o Submit the nomination under the team lead's name.
o In the Nomination Brief, include a list of all team member names and roles. Briefly describe how team
members contributed and worked together.
o Download the Team Member Nomination Consent Form and have each team member complete a separate
form. Submit each team member's completed form with the nomination package.

A Citation (no more than 150 words) suitable for public release, to be prepared by the nominator. Should the nominee
be selected as the recipient, the citation will be included in related University communication materials.
Letters of support (not exceeding one page in length each) that provide specific examples of why the nominee should
be considered for the Alan Shepard Equity, Diversity and Inclusion Award. There should be a minimum of 3 letters
from people who know the nominee and their work; the letters, as much as possible, should reflect a broad spectrum of
the Ryerson community faculty, students, and staff.

SELECTION PROCESS
The selection committees mandate is to help advance Ryersons values of equity, diversity and inclusion by ensuring that high
quality candidates, whose achievements meet or exceed the awards criteria, are selected for the recognition awards available to
students. The selection committee will be broadly representative of the Ryerson community, including faculty, staff, and
students. The Assistant Vice President/Vice Provost, Equity Diversity and Inclusion will serve as chair and identity members to
serve on the committee.

Selection committee members are responsible for reviewing all nomination packages received individually, and will together
determine the award recipient through consensus.

NOTE: An award will not be given if there is no suitable candidate nominated that clearly demonstrates the criteria in the
opinion of the selection committee.
Questions? Call Elsie Nisonen in the Convocation and Awards Office at 416-979-5000 ext. 3145

IMPORTANT DATES

Nomination deadline: September 19, 12:00PM (noon)
Recipients notified by: October 15
Award presentation: Students program departments award presentation

CONTACT
Elsie Nisonen, Convocation and Awards enisonen@ryerson.ca 416-979-5000 ext. 3145











































Questions? Call Elsie Nisonen in the Convocation and Awards Office at 416-979-5000 ext. 3145


In order to ensure legibility, please fill out each required field on the computer prior to printing. Once completed, please print,
sign, scan, and return the file to the nominator for inclusion with the nomination package.

Nominee Details

Name of Nominee: Program:

Telephone: Email:

Nomination Consent

I confirm that I am aware of this nomination and approve its submission to the Awards Selection Committee.

Yes No

Media Consent

I hereby grant permission to Ryerson University and its representatives to photograph and video me, and otherwise capture my
image, and to make recordings of my voice. I further grant to Ryerson University and its representatives the right to reproduce,
use, exhibit, display, broadcast and distribute these images and recordings in any media now known or later developed for
promoting, publicizing or explaining Ryerson University and its activities and for administrative, educational or research
purposes. Photographs, video images and voice recordings are the property of Ryerson University.

Yes No

Different Category

Should the Selection Committee decide this nomination is more appropriate for consideration in a different category based on
the supporting documentation, I agree to accept their decision.

Yes No

My signature confirms my consent to be nominated for this award and my decisions on media permission and different category
consideration as indicated above.


Signature of Date











Questions? Call Elsie Nisonen in the Convocation and Awards Office at 416-979-5000 ext. 3145
RYERSON UNIVERSITY PHOTOGRAPHY / FILM CONSENT FORM

I do not consent OR

I, the undersigned subject, hereby authorize Ryerson University, its employees, agents, associates, assistants or subcontractors to
photograph/film me. I grant Ryerson University the right to use, publish and display or permit the use, publication and display of audio-
visual or digital recordings, negatives, slides, prints or other electronic images of me (collectively, my Photographs) at their sole
discretion in any publication, multimedia production, display, advertisement or Internet publication worldwide in connection with
activities relating to the educational, administrative or statistical purposes of Ryerson University, such as promoting, publicizing or
explaining the University or its activities, for research, trade or fundraising related purposes or for other consistent purposes. I agree
that Ryerson University may use my name, likeness or biographical information, as I may supply.

I agree that all of my Photographs shall constitute the property of Ryerson University and I hereby waive any right to inspect or approve
the use of my photograph and my name or of any written copy. I release and forever discharge Ryerson University, its Board of
Governors, agents, officers and employees from any and all claims and demands arising out of or in connection with the use of my
Photographs. I waive any and all copyrights, intellectual property rights, privacy rights, moral rights and any other rights that I have in
my Photographs. I acknowledge that I am not entitled to and shall not seek any compensation fees or royalties of any kind, arising in
any way from my consent to the taking of my Photographs, irrespective of whether my Photographs are used or not, and that nothing
contained herein shall entitle me to have any of my Photographs.

I have read this Consent Form before signing below, and I fully understand its contents, meaning and impact and that it is binding on
me and my heirs, executors, administrators and assigns.

Pursuant to Ontarios Freedom of Information and Protection of Privacy Act, I consent to the collection of my personal information in
the form of my Photographs and my name by Ryerson University, its employees, agents and representatives to be used for the purposes
and disclosed to third parties as described above.

Signature of Subject:

Print name: Date:

Ryerson e-mail: Phone number:


Signature of Witness:

Print name: Date:


Privacy Notice:
Personal information in the form of my Photographs and my name are collected by Ryerson University under the authority of Ontarios
Freedom of Information and Protection of Privacy Act and theRyerson University Act, 1977. If I have any questions about the collection
of personal information by Ryerson University, I can contact the Ryerson University Information and Privacy Co-ordinator, 350 Victoria
St., Toronto, ON M5B 2K3, tel. 416-979-5000 ext. 4676.