Presidential Leadership Fellows Nomination

This form must be completed by the candidate's nominator. Nominations may be completed by a teacher, school counselor, minister, community leader, or other individual who can speak to the candidate's observed leadership skills and potential for leadership growth.

SECTION I

In this section, please include as much information about the candidate as you are able.

Candidate's Name*

First Middle Last Suffix

Candidate's Preferred Name

Candidate's Date of Birth

Candidate's Email*

Candidate's Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Candidate's Current School

SECTION II

Nominator's Name*

Prefix First Middle Last Suffix

Title

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone*

Email*

How long have you known this candidate and in what context? (please elaborate)*

What are the first words that come to your mind to describe this candidate?*

Why should this candidate be considered for a Presidential Leadership Fellowship?*

Please comment specifically on observed leadership skills, the situations/scenarios in which you have observed those skills, and your impression of the candidate's potential to take on leadership roles during and after his/her college experience.

Permission to Use Data*

I understand that by submitting this form I am granting Barton College permission to process my personal data and to contact me with information relevant to the services or opportunities offered, either directly or indirectly, through Barton College.

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PRESIDENTIAL
LEADERSHIP FELLOWS

Presidential Leadership Fellows Nomination

SECTION I

SECTION II

Office of Admissions