2019 Undergraduate Leadership Workshop - Nomination Form

ULW Student Nomination Form

Please fill out this form and attached the requested documents.

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* 1. Address

First name of nominator

Last name of nominator

Univ./college affiliation

Departmental affiliation

Area of interest/discipline

Email Address of nominator

Phone Number

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* 2. Please indicate the status of your institution in terms of whether it is a Minority Serving Institution and who is served.

HBCU (Historically Black College or University)

HSI (Hispanic Serving Institution)

TCU (Tribal College or University)

AAPISI (Asian American and Pacific Islander Serving Institution

PWI (Predominantly White Institution) - not an MSI

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* 3. Please identify the travel support available/needed:

My department is able to cover the cost of a student's travel to Boulder

My department is unable to cover the cost of travel to Boulder and a travel scholarship will be needed

Other (please specify):

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* 4. Please enter the name of the student you are nominating:

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* 5. Please enter the email address of the student you are nominating:

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* 6. Please give us a bit of background about this student and how you have come to know them:

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* 7. Please describe the student's strengths.

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* 8. Please describe areas where the student could grow:

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* 9. How do you think that this student would benefit from this experience of doing the ULW?

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* 10. Has the student been accepted into the NOAA Hollings Program or an NSF-funded REU program? Please explain, if you know.

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* 11. If you have other comments, please add them here.

Thank you for your time in nominating a student to the ULW! We will get back to the student no later than May 1, 2019.

If you have questions, please email us at: ulw@ucar.edu.

Warm regards,

V. Sloan and T. Barnes

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* 12. Please write a letter explaining how this student could benefit from this workshop in terms of leadership training and career path.

Please upload your letter here.

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