NAGT-USGS Student Nominations Portal

Submission Deadline: October 1

Thank you for nominating your field camp student(s). Please review the guidelines and instructions (opens in a new window) prior to submitting your nomination(s). If the enrollments at your camp allow you to make more than one nomination per the limits stated in the guidelines, please fill out a new form for each student nominee. Please only complete this form if you received a solicitation for nominations. If you did not receive a solicitation for nominations or have any questions, please contact Kurt Burmeister (mailto:nagtusgs@csus.edu).

Program Information* 1. Program: please select your field camp from the following list * required

If your camp completed is not listed, please enter the name of the program here:

Nominator Information* 2. Nominator: please enter your contact information

First Name
* required
Last Name
* required
Institution
* required
Mailing Address
* required
City
* required
State
* required
Postal Code
* required
Phone Number
(please use format: 555.555.5555)
* required
Email Address
* required

Nominee Information* 3. Nominee: please enter the contact information for the student you wish to nominate.

First Name
* required
Last Name
* required
Institution
* required
Mailing Address
* required
City
* required
State
* required
Postal Code
* required
Phone Number
(please use format: 555.555.5555)
* required
Email Address
* required

* 4. Please enter a short paragraph or two (less than 3000 characters not including spaces) below outlining your reasons for nominating this particular student. You can either type directly into the space provided or cut-and-paste text from a word processing document (please note formatting may not be preserved).

Name Email

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