Community Student Leader Nomination Form
This annual award sponsored by the DuPage County NAACP Education Committee honors student leaders who have contributed significantly to the quality of life through involvement in leadership in his/her community. We invite you to nominate a maximum of two student leaders from your organization or school. Students will be honored at the annual education breakfast held on June 1, 2019 at North Central College in Naperville, Illinois. Nominations are due by May 20, 2019.
.Nominator's Information
Your First Name *
Your answer
Your Last Name *
Your answer
Your daytime phone number *
Your answer
Your email address *
Your answer
Your relationship to nominee *
Your answer
Nominee's Information
Student's First Name *
Your answer
Student's Last Name *
Your answer
Student's Grade *
Your answer
Student's School *
Your answer
Parent's First and Last Name *
Your answer
Parent's Phone Number *
Your answer
Parent's email address *
Your answer
Nomination Criteria
List the student's involvement in community activities and contributions he/she has made to those activities. *
Your answer
How has this student shown progressive growth in his/her leadership skills? *
Your answer
How has this student inspired and motivated others through their example and assisted others in their development as leaders? *
Your answer
Anything else you would like the committee to consider?
Your answer
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