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Division of Student Affairs Student Leadership Nomination Form

Please use one form per each nomination. Nomination deadline is, Friday, March 28, 2014 at noon.  If you nominate an individual, or you are the winner of an award, you will receive notification inviting you to the ceremony.

Mark your calendar:  the 2014 ceremony will be held Sunday, April 27, 2014 at 10 a.m. in Gengras Student Union Cafe.

Nomination Form

Please use one form per each student or each student group/organization you wish to nominate.

Name of student or organization: *

If you are nominating a student organization, please provide:

Organization contact name:

Organization's contact phone #:

Award you are nominating this student or student organization:

Please select one: *

Please explain why you are nominating this student or organization for this award:

I nominate this student or organization because: *

Nominator's name: *

Nominator's phone #: *

Nominator's email: *

Nominator's department: *

Nominator is: *