Distinguished Student Leader Nomination
The intent of this recognition is to honor outstanding students who have made a significant impact upon a particular student organization or group on campus, including the following categories: Academic Student Organization/Honors Societies, Community Service, Fraternity and Sorority, Leadership, Multicultural, Political, Recreational, Religious/Spiritual, Special Interest, Student Athlete, and the Student Government Association.
Nominations are due Friday, February 22, 2013.
If you have any questions contact Kacey Schaum via email firstname.lastname@example.org or by phone (256) 824-5420.
Name of Nominated Student Leader:
Nominated Student's Email Address:
Nominated Student's Phone Number
Academic Student Organization/Honors Society
Community Service Student Organization
Leadership Student Organization (i.e. Lancers, T.R.U.E. Chargers, etc.)
Multicultural Student Organization
Political Student Organization
Recreational Student Organization
Religious/Spiritual Student Organization
Special Interest Student Organization
Student Government Association
Name of Student Organization
Reasons for Nomination. Please include only the individual's contributions to the specific organization for which he/she has made a definite and lasting change.
Nominator's Email Address
Do Not Fill This Out