Leadership in Diversity, Equity, and Inclusion Student Name

Leadership in Diversity, Equity, and Inclusion
Student Name
Student C#
Student Local Address
Nominated by
Nominator E-mail
*Nominees will automatically be considered for the Outstanding Student Leader Award.
INVOLVEMENT
Please list any leadership involvement experiences (organization, club, volunteer activity, special committees,
department) the nominee has participated in including the leadership roles held.
Organization
Role/Position
Dates
Please provide two examples of how this student has made an impact with diversity, equity and
inclusion at SUNY Cortland and/or in the community.
ADDITIONAL COMMENTS
Please provide any additional comments that will demonstrate to the committee what makes this
student deserving of this recognition.
Please attach additional sheets as necessary.
Applications due to the Campus Activities Office in 406 Corey Union by
4 p.m. on Wednesday, March 9, 2016 or e-mail [email protected]