Nominee - Student Information *

First Name

Last Name

Student Phone Number

If you have access to a student's phone number, we recommend including it in the nomination process.

(###)

###

####

Nominator - Your Information *

First Name

Last Name

Nominator Phone Number

(###)

###

####

Would you like to sponsor your nominee? *

Cost for students to attend is $475 (two-bed hotel room with one other student) or $400 (two-bed hotel room with three other students). The NSL office will coordinate with you when payment is due.

Full Forum Fee

Partial Forum Fee (Please enter amount below)

My nominee will cover their own Forum fees