Carl Sandburg College Student Ambassador Nomination Form Question Title * 1. Today's Date i.e. (04/01/2018) Date OK Question Title * 2. Your Name First Last OK Question Title * 3. Your Email Email Address OK Question Title * 4. Student's Name First Last OK Question Title * 5. Student ID (If Known) Student ID OK Question Title * 6. Student's Email Email Address OK Question Title * 7. How long and in what capacity have you known this student? OK Question Title * 8. Does this student possess the characteristics that would make them a good ambassador of Sandburg? (Please rate the following characteristics below on the indicated scale for the student you are nominating). Strongly Disagree Disagree Neutral Agree Strongly Agree Open, Friendly & Approachable Open, Friendly & Approachable Strongly Disagree Open, Friendly & Approachable Disagree Open, Friendly & Approachable Neutral Open, Friendly & Approachable Agree Open, Friendly & Approachable Strongly Agree Interested in Meeting New People Interested in Meeting New People Strongly Disagree Interested in Meeting New People Disagree Interested in Meeting New People Neutral Interested in Meeting New People Agree Interested in Meeting New People Strongly Agree Enthusiastic Enthusiastic Strongly Disagree Enthusiastic Disagree Enthusiastic Neutral Enthusiastic Agree Enthusiastic Strongly Agree Effective Communicator Effective Communicator Strongly Disagree Effective Communicator Disagree Effective Communicator Neutral Effective Communicator Agree Effective Communicator Strongly Agree Reliable Reliable Strongly Disagree Reliable Disagree Reliable Neutral Reliable Agree Reliable Strongly Agree Showing Potential Leadership Qualities Showing Potential Leadership Qualities Strongly Disagree Showing Potential Leadership Qualities Disagree Showing Potential Leadership Qualities Neutral Showing Potential Leadership Qualities Agree Showing Potential Leadership Qualities Strongly Agree OK Question Title * 9. In what ways has this student shown leadership skills/qualities? OK Question Title * 10. Do you have any other notes or comments you would like to share about this student? OK DONE