Scholarship Nomination – Institute for Systems Change and Peacebuilding

Milwaukee Community Changemaker Scholarship Nomination Form

Nominator's Name(Required)

First Last

Nominator's Email Address(Required)

Nominator's Phone Number

Name of who you wish to nominate(Required)

Email address for nominee(Required)

Name of the organization(s) the nominee associated with in a volunteer or staff capacity(Required)

Why have you chosen to nominate this person? (about a paragraph)(Required)

How do you believe this person would benefit from tuition remission or a fellowship at UWM's ISCP? (about a paragraph)(Required)

Do you believe this individual would be most interested in pursuing full-time or part-time study?(Required)

Full-time

Part-time