First Name: *

Last Name: *

Title/Position & Organization: *

Email Address: *

Is this your first time nominating a student to the CLA? *
- Select Option Yes No

How did you hear about the CLA and the nomination process this year? *

First Name: *

Last Name: *

Email (GVSU Email Preferred, if available): *

How do you know this nominee, and for how long have you known them? *

What are some specific reasons you are nominating this student? *