Nomination Form

Student Leadership Summit 2022

Aug. 8-10, NYC

Instructions

Thank you for your support in nominating participants for the Student Leadership Summit! Please use this form to share contact information for potential attendees.

There are a limited number of competitive spots available for this Summit. We will alert nominated students on a rolling basis and student registrations are due by June 31st. *Note that you can nominate up to 3 students.

Please submit this form as soon as possible.

Due to generous donors, participation costs and travels costs are covered for all students.

Please contact Danielle Kranjec with any questions - danielle.kranjec@shalomhartman.org

Your Information

Title

First Name

Last Name

Your Email

Your Organization

Your Postition

Nominee Information

First Name

Last Name

Nominee Email

School

Nominee's graduation year

Why is this person a good fit for the Leadership Summit? How will Hartman learning impact their growth as a leader?

Submit another nomination

Nominee 2 Information

First Name

Last Name

Nominee 2 Email

School

Nominee's Graduation Year

Why is this person a good fit for the Leadership Summit? How will Hartman learning impact their growth as a leader?

Submit another nomination

Nominee 3 Information

First Name

Last Name

Nominee 3 Email

School

Nominee's Graduation Year

Why is this person a good fit for the Leadership Summit? How will Hartman learning impact their growth as a leader?