Graduating Student Leadership Award Nomination Form

NOMINATOR INSTRUCTIONS
Complete the nomination form in full (including all required signatures);

If student is being nominated, please obtain his/her consent by having the student sign this form below.
Must include resume and nomination form; no need to include transcripts.

Student Details

* Name of student

* Student number

* Students current mailing address

* Students postal code

* Cell number

* Preferred email address

* Students degree program

* Student type

* Expected graduation date

* Students resume

Student Consent

* Is the above information correct?

* Resume attached?

* I consent to this nomination

* Signature of student

* Date of nomination

Nomination Details

Provide the names of extra-curricular university-related committees/organizations and the years in which the student has been involved.

* Name

* From year

* To year

Additional Details

Please provide a clear and concise description of why you or the student you are nominating should receive this award. Describe the student’s volunteer contributions to their degree program or to the University, specify notable achievements in volunteer roles and the significance of these achievements to the constituency or to the University. You are welcome to use space provided or include separate letter to explain reasons for selection.

* Additional details

Nominator Details

* Is the nominator information the same as the students?

* Name of nominator

* Nominators phone number

* Nominators preferred email address

* Are you a

* Signature of nominator