(*) denotes required information.
* Nominee's Name:
* Relationship to Student:
* Your Student's Name:
* Your Student's Campus Phone Number:
* Year in School:
* Major:
Please state the reason you chose to nominate this person. You may wish to comment on the contributions/interactions this nominee provided for your student, changes noticed within your student as a result, and/or characteristics of your nominee that would warrant her or his selection as an exceptional representative of the Bradley faculty or staff.
* Nominator's Name:
* Nominator's Phone:
* Nominator's Email: