Student Leadership Awards Nomination Form

"*" indicates required fields

Please select award (you may nominate individual for more than one award):*

Graduating Student of the Year

International Student of the Year

Clifford Hughes ’55 Award

Name*

First Last

Email*

Phone

GPA

Anticipated graduation date

Please list or discuss nominee’s academic achievements*

Please list or discuss nominee’s campus leadership experiences*

Please list or discuss nominee’s community service or volunteer experiences*

Is there any other information the selection committee should take into consideration?*

Name*

First Last

Title (if applicable)

Class Year (if applicable)

Relationship to Nominee*

Email*

Phone*

Questions? Please e-mail Jennifer Morris '01, Director of Alumni Relations at jmorris4@missouriwestern.edu.