2013 Joanne Sullenger Emergin Leader Award Nomination Form

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The Joanne Sullenger Emerging Leader Award is awarded to one University of Michigan-Flint first-year student, enrolled during the 2010-2011 academic year, who has made significant contributions to the University of Michigan-Flint or community.

Nominee

First Name *

Last Name *

E-Mail Address

Is this their first year at the University of Michigan-Flint? * YesNo

Class Standing

Major

Campus Involvement

Community Involvement/Civic Engagement

Additional Information Please provide any additional information on the nominee you feel necessary.

Nominator

First Name *

Last Name *

E-Mail Address *

Would you like the Nominee to know you nominated them? * YesNo

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Student Organization Center | 213 University Center - 303 East Kearsley St. | Flint, Michigan 48502
Phone: 810.424.5316 | Fax (810) 762-3023 | Dept.Student_Life@umflint.edu

University of Michigan-Flint

2013 Joanne Sullenger Emergin Leader Award Nomination Form

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