LGBTCC Award Nomination Form 2018
Do you know outstanding UW-Madison students? Help honor their accomplishments!

We are seeking nominations for the following awards, to be presented at Rainbow Graduation 2018 (5:30pm, Wednesday, May 9, in the Wisconsin Institute for Discovery: www.facebook.com/events/397431800683425/).

Please let us know who helps make students' lives better! Nominations due Monday, May 1.

Questions? Contact us at lgbt@studentlife.wisc.edu or 608-265-3344.

Emerging Leader Award
The Emerging Leader Award is presented to a student at UW-Madison who has made a positive impact on their community. This award honors individual growth, and may be awarded to a student who has shown personal identity development as well as public initiative.
Nominee
Their preferred name
Your answer
Nominee's email
Your answer
Nominee's phone
Your answer
Please identify two or three ways this student has grown, made a positive impact, or shown initiative.
Your answer
Community Development Award
The Community Development Award is presented to a student who has gone above and beyond and excelled at bringing communities together on campus. Recipients have made commendable strides at the intersections of identity and community and their work has enriched the lives of their peers at UW-Madison.
Nominee
Their preferred name
Your answer
Nominee's email
Your answer
Nominee's phone
Your answer
Please describe how this student has done intersectional work and/or built community on campus.
Your answer
Rainbow Leadership Award
The Rainbow Leadership Award is presented to a student who has displayed exemplary leadership in their campus community. This may include formal engagement like internships, volunteering, or leading student organizations. It may also include informal leadership like peer mentoring, effort behind the scenes, and other forms of support.
Nominee
Their preferred name
Your answer
Nominee's email
Your answer
Nominee's phone
Your answer
Please identify two or three ways this student has displayed exemplary leadership.
Your answer
Your Contact Information
We will use this to contact you in case we have questions. While we notify all nominees of their nominations, we won't share your name or information with them.
Preferred Name
Your answer
Email
Your answer
Phone
Your answer
Affiliation
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