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Nominate a Student

July 16–23, 2017

Eligible applicants for Elevate 2017 must be nominated by a person familiar with their academic and leadership potential. Nominated students will receive an invitation to apply, with an application access code, by mail and by email by late November.

Elevate 2017 Nomination

If you know of a current sophomore or junior with incredible leadership skills, nominate him or her for Elevate 2017. *Required field

1. *Invitation code: Please enter the invitation code found in your email:

2. *Student's first name:

3. *Student's last name:

4. *Student's email address:

5. *Parent or Guardian first name(s):

6. *Parent or Guardian last name(s):

7. *Parent or Guardian email address:

8. Parent or Guardian phone number:

9. *Student's Gender


10. *Student's Graduation Year

11. *In September through December 2017, the student will be a:


12. *What personal qualities make this student outstanding?

13. *What scholastic or extracurricular leadership distinguishes this student from others you know? Please provide two to four examples of clubs, organizations, or leadership positions in which this student has excelled:

14. *Nominator prefix (Dr., Mr., Ms.)

15. *Nominator first name:

16. *Nominator last name:

17. *Nominator title:

18. *Nominator email address:

19. *Your institution:

20. *Street Address of Your Institution

21. *City

22. *State or Province

23. *Zip Code

24. *Country

25. Additional comments?

“Leadership and learning are indispensable to each other. ”

John F. Kennedy