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.

PRESIDENTIAL
LEADERSHIP FELLOWS

Presidential Leadership Fellows Nomination

SECTION I

SECTION II

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