ROLS Online Nomination Form

Department of Student Experiences
Recognition for Outstanding Leadership & Service

NOMINATION FORM

Nominator Full Name:
Nominator Address:
Nominator E-mail Address:
Nominator Phone:
Your Position:
Student or Advisor Full Name:
Student or Advisor E-mail Address:
Nominees Classification:
Award Recognition:
Letter of Recommendation:
	Up to 1000 characters
Organization Full Name:
Organization Recognition:
President Full Name:
President E-mail Address:
Advisor Full Name:
Advisor E-mail Address:
List of Organizations Service and Accomplishments:
	Up to 1000 characters