Leadership Initiatives 2024 Student Internship Program Nomination Form

2024 Summer Internship Nomination Form

Please complete this form to nominate students for the Leadership Initiatives Summer Internship Programs at Georgetown University. Nominations are reviewed within 72 hours and sent out via email. Nominators will be cc'ed on the email.
Nominator Title
Nominator Full Name*

First NameLast Name
Nominator Email Address*
Note: Leadership Initiatives requests your email to confirm receipt of your student nominations and to keep you aware of future nomination opportunities. Your personal information and that of your nominees is stored securely and never shared. We have worked with students from across the globe for more than 20 years, and we maintain a strict, comprehensive privacy policy.
Preferred Phone Number (optional)
What is your relation to the nominee? (Select all that apply)*

PrincipalCounselorTeacherClub AdvisorCoachPast StudentOther
What school or organization are you affiliated with?*
Student Scholarship Nomination Information

You can nominate up to five students per form. If you have additional students to nominate, you can complete the form again.
Nominated students receive a $1,000 scholarship to attend a Leadership Initiatives Summer Internship Program of their choice and automatic acceptance into our year-round International Internship Program.

All nominated students who enroll also receive academic benefits to ensure they successfully navigate the changing college admissions process. Participants meet one-on-one with admissions counselors, receive one year of standardized test prep from our partners at Testive, and receive college assistance from University Connection with college probability modeling, unlimited application essay editing, scholarship assistance, resume editing, and full application review.
Student Full Name*

First NameLast Name
Student Email*
Student School Name
Student Graduation Year
Student Phone Number (optional)
Would You Like To Nominate Another Student?

YesNo
Student Full Name*

First NameLast Name
Student Email*
Student School Name
Student Graduation Year
Student Phone Number
Would You Like To Nominate Another Student?

YesNo
Student Full Name*

First NameLast Name
Student Email*
Student School Name
Student Graduation Year
Student Phone Number
Would You Like To Nominate Another Student?

YesNo
Student Full Name*

First NameLast Name
Student Email*
Student School Name
Student Graduation Year
Student Phone Number
Would You Like To Nominate Another Student?

YesNo
Student Full Name*

First NameLast Name
Student Email*
Student School Name
Student Graduation Year
Student Phone Number
Should be Empty:

2024 Summer Internship Nomination Form

Student Scholarship Nomination Information