Student Leader of the Month Nomination Form
Nominator Name
Nominator Email
PC Affiliation
Please select...
Student
Faculty
Staff
Administration
Nominee Name
Nominee Class Year
How do you know the nominee?
What leadership positions does the nominee hold on campus?
What impact do you believe the nominee has had on PC and the organizations and/or offices with which he/she is involved?
Is it okay to disclose your name to the nominees if asked?
Yes
No
Why should we select the nominee as "Student Leader of the Month"?
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