Entrepreneurship Academy Nomination Form 2019

NOMINATION FORM 2019
Calling all principals, counselors, and teachers!

We are seeking your nominations for our competitive Entrepreneurship Academy at Long Island University.

Top candidates are passionate about business and leaders in their school communities who are eager for opportunities to advance their presentation and leadership skills while learning more about different business careerpaths.

Ideal candidates meet the following criteria:
- Professional, driven leaders in their school communities
- Current juniors planning to major in Business
- Cumulative GPA above 90, 1200 SAT
NOMINATOR CONTACT INFORMATION
Nominator Name*
First and Last
High School Name*
High School State*
Nominator Email*
Nominator Phone*

Area CodePhone Number
CANDIDATE CONTACT INFORMATION
Nominate up to 4 students below. You may nominate additional candidates by submitting a second form.

Please ensure that students' email addresses are accurate as this is our primary means of communication!
CANDIDATE CONTACT INFORMATION
Student Name*
First and Last
Student Email*
Student Cell (optional)

Area CodePhone Number
CANDIDATE CONTACT INFORMATION
Student Name
First and Last
Student Email
Student Cell (optional)

Area CodePhone Number
CANDIDATE CONTACT INFORMATION
Student Name
First and Last
Student Email
Student Cell (optional)

Area CodePhone Number
CANDIDATE CONTACT INFORMATION
Student Name
First and Last
Student Email
Student Cell (optional)

Area CodePhone Number
Should be Empty:

NOMINATION FORM 2019

NOMINATOR CONTACT INFORMATION

CANDIDATE CONTACT INFORMATION

CANDIDATE CONTACT INFORMATION

CANDIDATE CONTACT INFORMATION

CANDIDATE CONTACT INFORMATION

CANDIDATE CONTACT INFORMATION