Leadership Scholarship Program Nomination Form

The nomination form is due with all other application materials by January 12, 2024

The Leadership Scholarship Program (LSP) recognizes outstanding high school graduating seniors who have achieved excellence in leadership and service. Up to 25 students will be selected for the scholarship. Established in 1977 to develop exceptional leadership skills among promising scholars, this program has a long-standing history at Arizona State University. More than a scholarship program, students become integral members of the university community.

Students nominated for the Leadership Scholarship Program should have a strong history of involvement. Ideal candidates will have participated in many service and volunteer projects, participated in and lead student organizations and projects, and have a desire to positively impact the world. Further, students must see leadership as a tool for to address issues and problems and create a better world for current and future generations.

Nomination Information

Name of Student:

Name of High School Counselor:

High School:

High School Address:

City:

State:

ZIP Code:

Phone (include area code):

Cumulative Un-weighted GPA:

Class Rank:

SAT/ACT:

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By checking the box below you are officially serving as nominator for the student listed above.

I agree to serve as the nominator for the student listed above.

Date: