Welcome to Millersville University

6th Annual Leadership Banquet

2008 Nomination Form

Due: Friday, March 21st by 4:30p.m.

Please make sure ALL of the questions are answered. There will be more questions at the bottom depending on the award chosen.

Nominee's/Organization's Name:


Address:


Phone Number:     Email Address:


Nominator's Name:

Nominator's Phone Number:


Please select an award nomination: