SSC and OUA Student Leader Nomination Form
This form is for University of Wisconsin–Milwaukee faculty and staff use ONLY. By completing this form, the student noted below is being nominated for a position as a Campus Ambassador (Tour Guide), Orientation Leader and/or Peer Mentor.

Students nominated by any one individual will be contacted about the position(s) and encouraged to apply. These students will need one recommendation form to be completed by someone other than the individual that nominated them.

Nominee Name:
Your answer
Nominee Email:
Your answer
Your Relationship to Nominee:
Your answer
How long have you known this nominee?
Please specify in years
Your answer
Your Name:
Your answer
Your Title:
Your answer
Office/Department:
Your answer
Phone:
Your answer
Your Email Address:
Your answer
Please specify:
Why are you nominating this student for a leadership position?
Your answer
Which position(s) are you nominating this individual for?
Required
May we contact you about this applicant?
Any additional information you would like to provide?
Your answer
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