Meredith College
Community Impact Award
Nomination Form
Student Nominee Information:
Name: _________________________________________________________________
Class: ____________________________
Email: ____________________________
Nominator’s Contact Information:
Name: ___________________________________________________________
Position: _________________________________________________________
Department: ______________________________________________________
Telephone Number: _________________ E-mail: ______________________
Please submit a letter (no longer than three pages) that describes how you know the
nominee, the nominee’s community service activities, length of service, outstanding
personal characteristics, and campus and community impact.
This forms and your letters of recommendation must be submitted to:
Peggy Ross, Student Leadership and Service, 202 Cate
Meredith College, 3800 Hillsborough St., Raleigh, NC 27607
or
rosspegg@meredith.edu