LGBTQ+ Community Engagement Award Nomination Form
Application deadline: April 1, 2024
Your Name
*
First Name
Last Name
Your Email
*
example@example.com
Job title (if applicable)
Name of student you are recommending for the award (can be self nomination)
*
Email of student you are recommending for the award (UChicago email, please)
*
Length of time you have known the nominated student
*
Describe your relationship to the nominee and the nominee’s major area of involvement
*
How has the nominee contributed to the advancement of the interests of the LGBTQ+ community? Please be as specific as possible.
*
What makes the nominee’s efforts exceptional and deserving of recognition?
*
Is there anything else you would like to add?
Submit
Should be Empty: