Emerging Leaders Symposium Nomination Form

**Note:  Graduates of ELS are not eligible for nomination

• Comprehensive List of Graduates

Nominations are limited to freshmen and sophomores only.

The student will be informed of who nominated him or her in a letter from Student Activities.  This process is not designed to be a secret or a "surprise" for the student.  If you need to contact them to get their full information, please do so.  Thank you. The student nominee must be a full time student. 

Student First Name  Year in school     Choose one Freshman Sophomore  

Student Last Name  

Student ID Number  Phone  

Student Postal Address  City  

Student Zip Code  Email  

Nominator's First Name  Last Name  

Nominator's department/area  

Nominator's Campus Address  

Nominator's Email