Experience Learning · Leadership Camp Nomination Form

Thank you for nominating a Leadership Camper!

We believe it is vital for everyone, regardless of means, to have access to wild places, high-quality experiential education, and meaningful stewardship opportunities. Nominations will remain open until April 30th.

Questions? Please contact Melinda at MBrooks@experience-learning.org

Contact Information

Parent Name

First Name

Last Name

Parent Email

Verify Email

Nominee's Name

*

First Name

Last Name

Phone Number

please provide a way to contact the nominee by phone if possible

To be completed by the nominator

Nominator's Name

*

Nominator's Contact Info (email, phone)

*

Please provide a brief statement about why you are nominating this person

*

Please describe your relationship to this person

*