William & Mary Leadership Award Nomination

The William & Mary Leadership Award is presented to one outstanding current junior (Class of 2027) from each high school in Virginia and select high schools across the United States. The junior you nominate should be a visible and dynamic leader within your school community. Please review the guidelines for the your nomination prior to submitting.

Please note that each school should only nominate one student per year.

* indicates required for submission

Student Information

Student Email Address

Student First Name

Student Middle Name

Student Last Name

Student Birthdate

Student Mailing Address

Country

Street

City

Region

Postal Code

School Information

Current School Name

Current School CEEB

Awards will be mailed to the school using the United States Postal Service only.
Required

Country

Street

City

Region

Postal Code

Anticipated Student Type

First-Year

Transfer

Anticipated Start Term

Counselor Information

Counselor First Name

Counselor Last Name

Counselor Email Address

Relationship

Award Ceremony Date (or approximate)

W&M Leadership Award

Yes

No