Middle School Student Group Nominations

Nominator Information

Nominators First Name(required)
Nominators Last Name(required)
Title(required)
Organization(required)
Street Address(required)
City(required)
State(required)
Zip(required)
Phone(required)
Fax(required)
Email(valid email required)

Nominee #1

Nominee Information
Nominee First Name(required)
Nominee Last Name(required)
Relationship To Nominee(required)
Nominee E-Mail
Nominee Phone
School/Organization(required)
Grade(required)
Home Address(required)
City(required)
State(required)
Zip Code(required)
School Address
City
State
Zip Code
Parent/Guardian Information
Parent/Guardian First Name(required)
Parent/Guardian Last Name(required)
Parent/Guardian's Primary Language
Parent/Guardian E-mail
Parent/Guardian Phone(required)
Street Address(required)
City(required)
State(required)
Zip Code(required)
Nominees Qualifications
Award recipients show leadership potential in one or more of the following areas:
- Community Leader – demonstrates positive leadership within her peer group, community, church or synagogue, etc.
- Student Leader – demonstrates leadership and “makes a difference” within her school’s academic community.
- Creative Leader – demonstrates being an innovative force in any area of the arts.
- Athletic Leader – someone whose energy and enthusiasm demonstrates heart, courage, persistence.
- Personal Integrity & Family – someone who communicates her leadership through her personal integrity and commitment to family or personal values.
- The Undiscovered Leader – as you consider the young women you know, remember we are reaching out to those who might not recognize this potential that lies within; we would like to help them recognize and step into becoming leaders in their own lives!
Tell us about your nominee and how she demonstrates her leadership potential
Please detail any special achievements and/or circumstances that you would like the selection team to consider.

Nominee #2

Nominee Information
Nominee First Name
Nominee Last Name
Relationship To Nominee
Nominee E-Mail
Nominee Phone
School/Organization
Grade
Home Address
City
State
Zip Code
School Address
City
State
Zip Code
Parent/Guardian Information
Parent/Guardian First Name
Parent/Guardian Last Name
Parent/Guardian's Primary Language
Parent/Guardian E-mail
Parent/Guardian Phone
Street Address
City
State
Zip Code
Nominees Qualifications
Award recipients show leadership potential in one or more of the following areas:
- Community Leader – demonstrates positive leadership within her peer group, community, church or synagogue, etc.
- Student Leader – demonstrates leadership and “makes a difference” within her school’s academic community.
- Creative Leader – demonstrates being an innovative force in any area of the arts.
- Athletic Leader – someone whose energy and enthusiasm demonstrates heart, courage, persistence.
- Personal Integrity & Family – someone who communicates her leadership through her personal integrity and commitment to family or personal values.
- The Undiscovered Leader – as you consider the young women you know, remember we are reaching out to those who might not recognize this potential that lies within; we would like to help them recognize and step into becoming leaders in their own lives!
Tell us about your nominee and how she demonstrates her leadership potential
Please detail any special achievements and/or circumstances that you would like the selection team to consider.

Nominee #3

Nominee Information
Nominee First Name
Nominee Last Name
Relationship To Nominee
Nominee E-Mail
Nominee Phone
School/Organization
Grade
Home Address
City
State
Zip Code
School Address
City
State
Zip Code
Parent/Guardian Information
Parent/Guardian First Name
Parent/Guardian Last Name
Parent/Guardian's Primary Language
Parent/Guardian E-mail
Parent/Guardian Phone
Street Address
City
State
Zip Code
Nominees Qualifications
Award recipients show leadership potential in one or more of the following areas:
- Community Leader – demonstrates positive leadership within her peer group, community, church or synagogue, etc.
- Student Leader – demonstrates leadership and “makes a difference” within her school’s academic community.
- Creative Leader – demonstrates being an innovative force in any area of the arts.
- Athletic Leader – someone whose energy and enthusiasm demonstrates heart, courage, persistence.
- Personal Integrity & Family – someone who communicates her leadership through her personal integrity and commitment to family or personal values.
- The Undiscovered Leader – as you consider the young women you know, remember we are reaching out to those who might not recognize this potential that lies within; we would like to help them recognize and step into becoming leaders in their own lives!
Tell us about your nominee and how she demonstrates her leadership potential
Please detail any special achievements and/or circumstances that you would like the selection team to consider.

Nominee #4

Nominee Information
Nominee First Name
Nominee Last Name
Relationship To Nominee
Nominee E-Mail
Nominee Phone
School/Organization
Grade
Home Address
City
State
Zip Code
School Address
City
State
Zip Code
Parent/Guardian Information
Parent/Guardian First Name
Parent/Guardian Last Name
Parent/Guardian's Primary Language
Parent/Guardian E-mail
Parent/Guardian Phone
Street Address
City
State
Zip Code
Nominees Qualifications
Award recipients show leadership potential in one or more of the following areas:
- Community Leader – demonstrates positive leadership within her peer group, community, church or synagogue, etc.
- Student Leader – demonstrates leadership and “makes a difference” within her school’s academic community.
- Creative Leader – demonstrates being an innovative force in any area of the arts.
- Athletic Leader – someone whose energy and enthusiasm demonstrates heart, courage, persistence.
- Personal Integrity & Family – someone who communicates her leadership through her personal integrity and commitment to family or personal values.
- The Undiscovered Leader – as you consider the young women you know, remember we are reaching out to those who might not recognize this potential that lies within; we would like to help them recognize and step into becoming leaders in their own lives!
Tell us about your nominee and how she demonstrates her leadership potential
Please detail any special achievements and/or circumstances that you would like the selection team to consider.

Nominee #5

Nominee Information
Nominee First Name
Nominee Last Name
Relationship To Nominee
Nominee E-Mail
Nominee Phone
School/Organization
Grade
Home Address
City
State
Zip
School Address
City
State
Zip
Parent/Guardian Information
Parent/Guardian First Name
Parent/Guardian Last Name
Parent/Guardian's Primary Language
Parent/Guardian E-mail
Parent/Guardian Phone
Street Address
City
State
Zip
Nominees Qualifications
Award recipients show leadership potential in one or more of the following areas:
- Community Leader – demonstrates positive leadership within her peer group, community, church or synagogue, etc.
- Student Leader – demonstrates leadership and “makes a difference” within her school’s academic community.
- Creative Leader – demonstrates being an innovative force in any area of the arts.
- Athletic Leader – someone whose energy and enthusiasm demonstrates heart, courage, persistence.
- Personal Integrity & Family – someone who communicates her leadership through her personal integrity and commitment to family or personal values.
- The Undiscovered Leader – as you consider the young women you know, remember we are reaching out to those who might not recognize this potential that lies within; we would like to help them recognize and step into becoming leaders in their own lives!
Tell us about your nominee and how she demonstrates her leadership potential
Please detail any special achievements and/or circumstances that you would like the selection team to consider.

Nominee #6

Nominee Information
Nominee First Name
Nominee Last Name
Relationship To Nominee
Nominee E-Mail
Nominee Phone
School/Organization
Grade
Home Address
City
State
Zip Code
School Address
City
State
Zip Code
Parent/Guardian Information
Parent/Guardian First Name
Parent/Guardian Last Name
Parent/Guardian's Primary Language
Parent/Guardian E-mail
Parent/Guardian Phone
Street Address
City
State
Zip Code
Nominees Qualifications
Award recipients show leadership potential in one or more of the following areas:
- Community Leader – demonstrates positive leadership within her peer group, community, church or synagogue, etc.
- Student Leader – demonstrates leadership and “makes a difference” within her school’s academic community.
- Creative Leader – demonstrates being an innovative force in any area of the arts.
- Athletic Leader – someone whose energy and enthusiasm demonstrates heart, courage, persistence.
- Personal Integrity & Family – someone who communicates her leadership through her personal integrity and commitment to family or personal values.
- The Undiscovered Leader – as you consider the young women you know, remember we are reaching out to those who might not recognize this potential that lies within; we would like to help them recognize and step into becoming leaders in their own lives!
Tell us about your nominee and how she demonstrates her leadership potential
Please detail any special achievements and/or circumstances that you would like the selection team to consider.

Nominee #7

Nominee Information
Nominee First Name
Nominee Last Name
Relationship To Nominee
Nominee E-Mail
Nominee Phone
School/Organization
Grade
Home Address
City
State
Zip Code
School Address
City
State
Zip Code
Parent/Guardian Information
Parent/Guardian First Name
Parent/Guardian Last Name
Parent/Guardian's Primary Language
Parent/Guardian E-mail
Parent/Guardian Phone
Street Address
City
State
Zip
Nominees Qualifications
Award recipients show leadership potential in one or more of the following areas:
- Community Leader – demonstrates positive leadership within her peer group, community, church or synagogue, etc.
- Student Leader – demonstrates leadership and “makes a difference” within her school’s academic community.
- Creative Leader – demonstrates being an innovative force in any area of the arts.
- Athletic Leader – someone whose energy and enthusiasm demonstrates heart, courage, persistence.
- Personal Integrity & Family – someone who communicates her leadership through her personal integrity and commitment to family or personal values.
- The Undiscovered Leader – as you consider the young women you know, remember we are reaching out to those who might not recognize this potential that lies within; we would like to help them recognize and step into becoming leaders in their own lives!
Tell us about your nominee and how she demonstrates her leadership potential
Please detail any special achievements and/or circumstances that you would like the selection team to consider.

Nominee #8

Nominee Information
Nominee First Name
Nominee Last Name
Relationship To Nominee
Nominee E-Mail
Nominee Phone
School/Organization
Grade
Home Address
City
State
Zip Code
School Address
City
State
Zip Code
Parent/Guardian Information
Parent/Guardian First Name
Parent/Guardian Last Name
Parent/Guardian's Primary Language
Parent/Guardian E-mail
Parent/Guardian Phone
Street Address
City
State
Zip Code
Nominees Qualifications
Award recipients show leadership potential in one or more of the following areas:
- Community Leader – demonstrates positive leadership within her peer group, community, church or synagogue, etc.
- Student Leader – demonstrates leadership and “makes a difference” within her school’s academic community.
- Creative Leader – demonstrates being an innovative force in any area of the arts.
- Athletic Leader – someone whose energy and enthusiasm demonstrates heart, courage, persistence.
- Personal Integrity & Family – someone who communicates her leadership through her personal integrity and commitment to family or personal values.
- The Undiscovered Leader – as you consider the young women you know, remember we are reaching out to those who might not recognize this potential that lies within; we would like to help them recognize and step into becoming leaders in their own lives!
Tell us about your nominee and how she demonstrates her leadership potential
Please detail any special achievements and/or circumstances that you would like the selection team to consider.

Young Women's Leadership Program

Turning Strength into Leadership

Middle School Student Group Nominations