Nomination Form

Select Term:

Nominee Information:

Name:
First

Middle

Last
Address:
 
City

State

Postal Code
Country:
Phone:
E-mail:

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Educational Information:

If this student will enter ORU as a freshman in college, please complete the following:
High School:

If this student is enrolled in college and will enter ORU as a transfer student, please complete the following:
College Attended:
College Phone:

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Please summarize the achievements of this student in the following areas.

How long have you known the student?
In what capacity have you known the student?

What impresses you about this person?

Describe the leadership characteristics and outstanding leadership roles of this individual.

Describe how the nominee demonstrates a lifestyle of service. What are the significant contributions made by the nominee to their school, church, community or other areas?

Please summarize your recommendation for this nominee.
Highly recommend
Recommend
Do not recommend
Do you have additional comments that you would like to share with the scholarship committee?

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Reference Information:

Reference Type: School Official
Church Official
Community Leader
ORU Alumni
ORU Faculty
ORU Staff
ORU Student
Board of Trustees
Board of Reference
School Name:
School Phone:
Name:
First

Middle

Last
Address:
 
City

State

Postal Code
Country:
Phone:
E-mail:

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