Nominate-A-Student

Your Information

Your First Name

Your Last Name

Your Email

Have you nominated a student before?

YesNo

Your Current Role

Which institution do you represent? (High School, College, Organization, etc.)

What type of institution is it?

Are you or your school/org part of any of the following networks?

Country

City

State

State/Province

How did you hear about Global Citizen Year?

Other - please share details

Word of Mouth - please share details

Student Referral

Student's First Name

Student's Last Name

Student's Email

Student's Semester of Interest

Salesforce Hidden Fields

Applicant Full Name

Hidden calculated field concatenates the First and Last Name for the Opportunity. Do not modify.

Program Semester

Program Name

Opportunity Name

TAL Opportunity Record Type Id

TAL NAS Campaign ID

Source Campaign ID

A nomination does not guarantee a spot in the program. Nominated students will still participate in our normal admissions process. If a nominated student’s application is accepted and they're cleared for participation, the student will be awarded the $500 scholarship as part of their enrollment offer. Self-nominations are ineligible.*

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YesNo

Contact Information