Today's Date

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* 1. Today's Date

i.e. (04/01/2018)
Your Name

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* 2. Your Name

Your Email

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* 3. Your Email

Student's Name

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* 4. Student's Name

Student ID (If Known)

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* 5. Student ID (If Known)

Student's Email

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* 6. Student's Email

How long and in what capacity have you known this student?

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* 7. How long and in what capacity have you known this student?

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).

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* 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
Interested in Meeting New People
Enthusiastic
Effective Communicator
Reliable
Showing Potential Leadership Qualities
In what ways has this student shown leadership skills/qualities?

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* 9. In what ways has this student shown leadership skills/qualities?

Do you have any other notes or comments you would like to share about this student?

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* 10. Do you have any other notes or comments you would like to share about this student?

T