NOMINATION FORM

LEADERSHIP AWARD

This award is to be given to up to two students who have completed fewer than four semesters (excluding summer sessions) for exemplary service and leadership qualities.

Name of Nominee:
Nominee Address:
Nominee Email:
Nominee Phone:

Person Submitting this Form's Name:
Person Submitting this Form's Email:
Person Submitting this Form's Phone:

Specifically state your reasons why the nominee should receive the LEADERSHIP AWARD.

Nomination forms must be submitted online or download a pdf to print out and give to Laura Young in the Student Activities Office, located across from the Kirby Information Desk, by 4:00 pm, Friday, February 22nd, 2008.