Student Leader of the Year Nomination Form
This award will go to the nominee who has demonstrated the most impressive leadership in the student community during the academic year 2016/2017. Through their work the successful nominee will have campaigned to protect and enhance the student experience for their peers and, in doing so, will have become a role model within the college community.

You may apply on your behalf, or on behalf of someone else. Please do not exceed the indicated word limit. Applications must be received by 5pm on Friday 24th March. Supporting documentation, where relevant, may be emailed to awards@usi.ie and must be received before the application deadline.

Please note that only students who are a member of a USI-affiliated students' union may be nominated.

Email address
Name of applicant
Your answer
Applicant phone number
Your answer
Applicant email address
Your answer
Students' Union of which applicant is a member
Your answer
Please list the activities/areas of student life in which the applicant has demonstrated leadership (50 words)
Your answer
How has the applicant demonstrated leadership? (150 words)
Your answer
How was this leadership had a positive effect on student life in their college? (150 words)
Your answer
Any other comments? (75 words)
Your answer
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