LAS Peer Coaching Nomination Form
Please fill out this form to nominate a student to be an academic peer coach. Peer coaches will provide general academic support, such as: time management tips, study strategies, and academic accountability. Email las@wheaton.edu with any questions. Thank you for your valuable input!
1. Nominee Information
Nominee's Name
First Name
Last Name
Nominee's E-mail Address
Reason For Nomination
Explain why your nominee would be an effective peer coach.
Do you have additional nominees?
Yes
No
Nominee's Name
First Name
Last Name
Nominee's E-mail Address
example@example.com
Reason For Nomination
Explain why your nominee would be an effective peer coach.
Do you have additional nominees?
Yes
No
Nominee's Name
First Name
Last Name
Nominee's E-mail Address
example@example.com
Reason For Nomination
Explain why your nominee would be an effective peer coach.
Do you have additional nominees?
Yes
No
Nominee's Name
First Name
Last Name
Nominee's E-mail Address
example@example.com
Reason For Nomination
Explain why your nominee would be an effective peer coach.
Do you have additional nominees?
Yes
No
Nominee's Name
First Name
Last Name
Nominee's E-mail Address
example@example.com
Reason For Nomination
Explain why your nominee would be an effective peer coach.
Do you have additional nominees?
Yes
No
Nominee's Name
First Name
Last Name
Nominee's E-mail Address
example@example.com
Reason For Nomination
Explain why your nominee would be an effective peer coach.
Do you have additional nominees?
Yes
No
Nominee's Name
First Name
Last Name
Nominee's E-mail Address
example@example.com
Reason For Nomination
Explain why your nominee would be an effective peer coach.
Do you have additional nominees?
Yes
No
Nominee's Name
First Name
Last Name
Nominee's E-mail Address
example@example.com
Reason For Nomination
Explain why your nominee would be an effective peer coach.
Do you have additional nominees?
Yes
No
Nominee's Name
First Name
Last Name
Nominee's E-mail Address
example@example.com
Reason For Nomination
Explain why your nominee would be an effective peer coach.
Do you have additional nominees?
Yes
No
Nominee's Name
First Name
Last Name
Nominee's E-mail Address
example@example.com
Reason For Nomination
Explain why your nominee would be an effective peer coach.
Do you have additional nominees?
Yes
No
Nominee's Name
First Name
Last Name
Nominee's E-mail Address
example@example.com
Reason For Nomination
Explain why your nominee would be an effective peer coach.
Do you have additional nominees?
Yes
No
2. Your Information
Your Name
First Name
Last Name
Your Department
Your E-mail Address
Send Nomination
Should be Empty: