University of Hartford
RISE Leadership Program
Division of Student Affairs
Leadership Awards Nomination
2008-2009


Please use one form per nomination. Nominations are due by Wednesday March 25th, 2009 at noon. If you nominate an individual or you are the winner of an award you will recieve a notification inviting you to the ceremony. The ceremony this year will be held Sunday April 19th at 10AM in Gengras Student Union South Cafe.

Name of student or organization to be nominated:

If nominating an organization, please provide...
Organization's contact name:

Organization's contact phone #:


Please check award for which student or organization is to be nominated.
NOTE: All recipients of individual awards must have a cumulative minimum GPA of 2.5.

Robert Hanley Award
Richard D. Keller Award
M. Kevin Fahey Gengras Student Union Award
Dean of Students Recognition of Service Award
The Office of Residential Life Award
Student Organization Award
Community Service Award
Best Program Award

Please explain why you are nominating this student or organization for this award.


Nominator's Name:

Nominator Is:
Faculty
Staff
Student

Nominator's Phone Number:

Nominator's E-Mail Address:

Nominator's Department: