NC Campus Compact Student Award Selection/Nomination Form
Use this form to submit student information for the Community Impact Award AND the Barnhill Civic Trailblazer Award. The submission deadline for both awards is October 10.

Recognizes one outstanding undergraduate or graduate student service leader from each NC Campus Compact member campus. Each CAMPUS MUST CHOOSE its winner. A student may be honored for multiple or diverse forms of engagement including: volunteer service, service-learning, policy work, community organizing, advocacy, internships, or campus leadership. All award winners should clearly demonstrate:

* Deep commitment to partnering with others to address community issues
* Outstanding ability to lead and inspire fellow students to engage
* Tangible and meaningful impact on campus or community

Selection Process:
1. Campus chooses Impact Award honoree.
2. Campus faculty or staff member shares student info via form below.
3. Campus faculty or staff member sends Impact Award honoree head shot image to
4. If you want us to consider your Impact Award honoree for the Barnhill Trailblazer Award, click appropriate check box and send additional Letter(s) of Support on office letterhead to

Recognizes ONE student from the NC Campus Compact network who demonstrates innovation in civic engagement, creating a foundation that expands partnerships amongst communities, campuses, and individuals. Each CAMPUS MAY NOMINATE one student. Only students in their final year at an NC Campus Compact member school (senior or 2nd year at community college) will be considered. The Trailblazer Award winner should demonstrate:

* Creativity and innovation to start or deepen campus efforts to address community issues
* Long-term leadership that inspires others to engage
* Tangible and meaningful impact on campus or community
* Effort to integrate their work into campus structures in a sustainable way

Nomination Process:
1. Nominator (usually a campus faculty or staff person) shares student info via form below.
2. Nominator sends student head shot image to
3. Nominator sends Letter(s) of Support on office letterhead addressing criteria above to

Submission/Nomination deadline: October 10.
Impact Award honorees and the Barnhill winner should plan to attend and be recognized at the CSNAP Student Conference on Nov. 9-10 at Fayetteville State University. Each campus is strongly encouraged to register its Impact Award honoree for the conference.

Questions? Please contact Chad Fogleman, 336-278-7278,

Nominators should enter their email address below. You will receive a copy of your submission.

Email address *
This should include the information for the person completing this submission form. Must be a staff or faculty member.
College/University *
First Name: *
Last Name: *
Position/Title *
Phone *
For which award(s) are you submitting this student's information? Check all that apply. *
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service