Nomination form Student Social Impact Award

Use this form to submit a nomination for the student social impact award. Anyone can nominate someone, and as of this year, it is also allowed to nominate yourself as a student. Full criteria are on the website page.

I want to *

Nominate myself

Nominate a group of students I belong to

Nominate another student

Nominate a group of students I do not belong to

Data submitter

First name: *

Preposition:

Surname: *

Email address: *

Phone number: *

Details of nominee(s)

Name/Names: *

Attach your CV *

Attach your CVs *

Attach his/her/his/her CV *

Attach their CVs *

Questions on content

Why should this student win the award? Give a motivation *

What does the nominated student's community engagement involve? Give a description of the activities. *

Why should these students win the award? Give a motivation *

What does the social engagement of these nominated students entail? Give a description of the activities. *

Why should you win this award? Give a motivation *

What does your community engagement involve? Give a description of the activities. *

Why should you win this award? Give a motivation *

What does your community engagement involve? Give a description of the activities. *

Provide the contact details (name, e-mail and phone number) of the 'sponsor' supporting the nomination. This is someone from the society or university involved with you or the project *

What impact has the social project/community engagement had on UU students? *

What impact has the community project/community engagement had on society? *

Did the social project contribute to diversity and inclusion, and if so in what way? *

What is the future of the project/social commitment? *

Meer informatie over hoe Universiteit Utrecht met uw persoonsgegevens omgaat vindt u op www.uu.nl/privacy.

* = Invoer verplicht