Nominator's Contact Information



Email Address:

Phone Number:

Student Information

Name of Student You Are Nominating:

Student's School:

Student's Grade in School:

In what capacity do you know the nominee?

Have you worked with this student in a classroom environment? __parser__boolean_attribute_value__parser__

How long have you known the nominee?

With regards to the characteristics we seek in a Globetrotter, why do you feel this student is well suited for this program?

Briefly tell us about the impact you feel the Globetrotter Program could have on this particular student's life.

Have you nominated students for GreenHouse Programs in the past? If so, please list the names of those students.