Student Leadership Program Nomination Form

Thank you for your interest in the Student Leadership Program! You can self-nominate or be nominated by a staff member. Nominations are accepted each term.

Please fill out the following form to submit your nominations.

Who are you nominating?*
Nominator Information
Nominator Name*
First Last
Nominator Email*
Nominator Phone Number*
Nominee Information
Nominee Name*
First Last
Nominee's Student Email*
Nominee Phone Number*
Algonquin College Student Number*
Program of Study*
How many semesters will the nominee have fully completed at the start of the Student Leadership Program?*
To be eligible for the SLP program, you must have completed at least one full semester of your program.
Anticipated Graduation Date*
The program takes two semesters to complete. Students with one semester remaining in their program may be admitted on a case-by-case basis.
How many full semesters does the nominee have remaining in their program?*
The program takes two semesters to complete. Students with one semester remaining in their program may be admitted on a case-by-case basis.
Please include a 50-100 word statement of why you would like to participate in the AC Hub Student Leadership Program and what you hope to learn. If you are nominating someone else, please explain why they would be a good match for the Student Leadership Program:*

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AC Hub

Student Leadership Program Nomination Form

Nominator Information

Nominee Information

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