Todd Earl Spirit Award Nomination Form

Candidate's Name *

Candidate's Email

Faculty (if applicable)

Program (if applicable)

Nominator's Name *

Nominator's Email

Nominator's Phone Number

How long have you known the candidate? *

In what capacity have you known the candidate" (i.e., Professor, TA, supervisor, co-worker, student leader, advisor etc.)?

Please use the space below to provide a brief 300-500 word statement supporting your nomination for this student.

Statement of Agreement *

I hereby submit this nomination form and pledge that it is a fair and accurate characterization of the candidate to the best of my knowledge

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