WASHINGTON D.C. LEADERSHIP INTERN PROGRAM (Non-credit)

D.C. Leadership Internship Student Nomination

(Please print and submit)

Nominations due at 5:00 p.m. April 29 in Barge 401 (MS 7507).

The CWU D.C. Leadership Intern Program is a trip to Washington D.C. for exceptional students to broaden their horizons, meet CWU alumni, and experience the city that is the foundation of our national governmental system.

Airfare, lodging and a modest traveling stipend are included. 

We are looking for the best ambassadors for CWU so please include as much evidence of good character and exceptional performance as available. Eligibility requires that all nominated students maintain an overall GPA of 3.0 and will be entering their Junior or Senior year of academics in Fall, 2013. Students must be enrolled at CWU during the time of the trip to be eligible. This trip is not specific to any department of study and we aim to accommodate students from all academic areas. If you know a student who deserves a great opportunity like this, then please let us know.

Student Information

Name: ______________________________________________________________    
           (Last)                               (First)                                   (Middle)

Student ID number: ______________________________________
                                                                                               

Class Year:           0 JUNIOR       0 SENIOR

Major(s): ___________________________________________________________

___________________________________________________________________

Minor(s): ___________________________________________________________

GPA (3.0min): __________

Student E-Mail: ______________________________________________________  

Nominator Information

Name: ______________________________________________________________     
           (Last)                               (First)                                   (Middle)

Address: _____________________________________________________________

City: _______________________ State: ____________ Zip: ____________________

Primary Contact #:______________________________________________________

Secondary Contact #:____________________________________________________

Nominator E-Mail: ___________________________________________________________________

Why do you think this student is a good candidate? Please include information about their involvement with you and/or your department, evidence of leadership, academic drive, and signs of exceptional character. (Attach additional sheets as nessasary.)

For questions, please contact Sarah Scott at x 2160 or scott@cwu.edu.