APPLICATION DEADLINE: April 30th of each year.
(Applications received after April 30th will be considered the following calendar year).

All fields marked with asterisk (*) are required.

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Part 1

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NOMINATOR INFORMATION

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I would like the nominee below to be considered for the following recognition(s):*
(check all that apply)
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NOMINEE INFORMATION

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NOMINEE STATUS

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Nominee is:*
(check all that apply)
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Enter Program of Study if Nominee is a current TC student
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Part 2

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Education

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List college(s), business, or trade school(s)

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Name and City of College/University
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Start Date to End Date
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Degree Earned
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Major
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ORGANIZATIONS & ACTIVITIES

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List organizations which the nominee is or has been a member
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Business & Professional

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Organization

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Dates

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Position Held & Contributed

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Civic, Religious, Social, Athletic, and Other

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Organization

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Dates

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Position Held & Contribution

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NARRATIVE

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Provide answers to the following questions in a Word or PDF document and attach it to this application. Please provide specific examples: (you can also include any addtional information for Part 2 of this application)

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1. Please describe why this nominee deserves a LEAP Award.

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2. Briefly describe nominee's accomplishments (demonstrating the criteria previously noted), and provide details of how the nominee exemplifies these criteria in his/her daily life.

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3. List all awards and recognitions the nominee received previously.

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4. In what ways is the nominee connected to Temple College and the community in which they live? (Leadership position(s), philanthropy, volunteerism)

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(50 MB max)