Youth Leadership Nomination

Youth Leadership
Nomination form

Nominate Today!

Thank you for your help in nominating deserving students! Please note that all nomination forms are due May 15^th to the Leadership office.

If you have questions, talk to your school’s YL representative or Carrie Bossung at 574-314-9090 or cbossung@leadershipsbm.org.
Nomination of a student is the first step in the application/selection process.

Share the application online form with your the students you nominated by copying and pasting this link: https://leadershipsbm.org/programs/for-youth/youth-leadership-application/

Nomination Form

Your Name *

First

Last

Your Email *

Your Position or Department *

How many students will you be nominating today? *

Student One

Student One Name *

First

Last

Student One School *

Student One Current Grade

Student One Phone *

Student One Email *

Student One Parent Name *

Student One Parent Email *

Why do you feel Student One is a good candidate for Youth Leadership? Or, how would this student benefit from the Youth Leadership experience? *