Student Leadership Award Nomination Form

Nominations are due by April 5, 2024.

Nominee's Name

Nominee's Campus Address

Nominee's Phone

Nominee's Email

Nomination

To recommend a student for the Dr. Ray Zarvell Student Leadership Award include a brief summary that addresses the positive impact the nominee has made at Bradley University and/or the Peoria community. Please try to address as many of the following criteria as possible.

• Demonstrates exceptional work and service to the University and or Peoria community
• Contributes creative ideas to make improvements and/or develop projects
• Builds relationships to support and contribute to a project and/or program
• Excellent attendance and participation in meetings, events and projects
• Values the opinions and recognizes the importance of others
• Demonstrates ability to work effectively with others from a variety of backgrounds
• Limit to 1500 words

Nomination Submitted by

Nominator's Name

Nominator's Title

Nominator's Department/Organization

Nominator's Phone

Nominator's Email

How long have you known the Nominee?

In what capacity?

Are you willing to be recognized as the nominator?

YesNo

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Nomination

Nomination Submitted by