Yale Jefferson Service Award Nomination Form The Yale-Jefferson Awards annually honor (i) a Yale undergraduate, (ii) a student at one of Yale's professional or graduate schools, and (iii) an alumna/us. These awards recognize individuals who inspire the Yale community through their innovative, outstanding, and sustained contributions in service to the greater good. Nominee's Contact Information First Name Last Name School/Department Please indicate the school(s) and/or department(s) with which the nominee is affiliated. Yale Affiliation - None -AlumnusGraduate or Professional School StudentYale College StudentYale Faculty/StaffFriend/Parent of YaleOther Email Address Nomination Details What makes this individual an outstanding candidate for the Yale-Jefferson Award, with particular focus on the scope and impact of his/her project(s)? What leadership or service activities is the candidate passionate about? What is/was the extent of the candidate’s dedication to his/her cause(s)? How does/did he/she improve an existing service platform or generate new opportunities in service? How has the candidate integrated Yale’s resources and community into her/his service? In what ways might the candidate’s efforts have a lasting impact at Yale and beyond? Would you like to meet with a STAY member to discuss your nominee and his/her accomplishments? Yes No Nominator Contact Information First Name Last Name Nominator Email Address Yale Affiliation - None -AlumnusGraduate or Professional School StudentYale College StudentYale Faculty/StaffFriend/Parent of YaleOther Leave this field blank