Dave Marshall Leadership Awards Nomination Form

Nomination deadline: Monday, January 31st, 2021 by 11:59pm

Nominator Information

First Name

Last Name

Phone

Phone Extension

Department / Organization

Position

Relationship to the nominee

Nominee Information

First Name

Last Name

Student Number

Student Email

Role(s) / Position(s)

Years of Service

Nomination Category

Academic

Campus

Community

Additional Information

Referencing the award criteria in your response, describe how the nominee has contributed to their category of nomination:

Give an example to demonstrate the nominee’s leadership and how it has had a positive impact within their category of nomination:

General comments on the student’s personality, character, and leadership abilities:

If my nominee is selected for an award:

Please tell them that I nominated them

Please keep my nomination anonymous

(Only those chosen as recipients are contacted)

Supplemental Documentation

Optionally include any supplemental documentation (photos, letters of reference, excerpts of work, or other relevant information).
Maximum 5 files.
10 MB limit.
Allowed types: gif jpg png txt rtf pdf doc docx ppt pptx.

Click here to attach one or more files

Dave Marshall Leadership Awards Nomination Form

Students

About Us

Faculty and Staff