2020 Horace Moody Award Nomination Form
Deadline Extended for Region 6 Nominations until December 3, 2019
Nominees for the award should demonstrate performance in one or more of the following areas:
• Attending and engaging with students at Student Lead Ons or Emerging Recreational Sports Leadership Conference.
• Serving on the Student Leadership and Academic Awards Committee, Student Professional Development Committee, or the Career Services Center Committee.
• Serving as a mentor in the NIRSA mentor/mentee program.
• Participating in the Take a Student to Lunch session at the Annual Conference.
• Serving as a mentor to staff through engagement in NIRSA, other recreational opportunities, and/or professional development.
• Presenting in Student Professional Workshops.

Nominee Information
Nominator information will be required in next section of this form.
Nominee First Name *
Your answer
Nominee Last Name *
Your answer
Nominee Title *
Your answer
Institution *
Your answer
Email Address *
Your answer
NIRSA Region *
Number of years in Recreation Profession *
Your answer
Please summarize why you feel this person is deserving of this student development award. Please provide an example of when the professional exemplified one or more of the qualifications. *
Your answer
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