CSSH Student Pathway Nomination Form

Student Name*

First Last

Name of Nominator

First Last

Student's NU Email Address (forms without a valid email address for the student will be rejected)*

Expected Graduation Date*

Degree in Progress

Program*

Major(s)*

Minor(s)

Additional Academic Information

Experiential Education (Please select all that apply)

Campus Community Involvement

Volunteer Work

Please briefly describe any volunteer work the student has engaged in.

Why is this student being nominated and what experiences should we highlight?*

Is there anything else we should know about the student?