Summer Leadership Academy Nomination Form

SLA Nomination Form
Know a student who is passionate about leadership in the business community? Nominate them for the Mercy College Summer Leadership Academy!

Rising high school seniors experience college first-hand during this week-long, action-packed summer program. They learn about leadership and business careers from Executive Faculty who have worked at top global companies.

Visit Fortune 500 Companies
Explore careers in business
Team building - Shark Tank and more
Note: Email is the primary form of communication throughout the application and admission process.

Please ensure that both nomintor and student emails are entered correctly.
Nominator Information

Have more than five students to nominate? No problem! Nominate additional students by submitting the form again.
Your Name*

First NameLast Name
High School Name*
High School State*
E-mail*
Phone Number*

Area CodePhone Number
Nominee Information

You may nominate up to 5 students for the Leading for Change Summer Institute:
Nominee 1
Name*

First NameLast Name
E-mail*
Phone Number (optional)

Area CodePhone Number
Nominee 2 (Optional)
Name

First NameLast Name
E-mail
Phone Number (optional)

Area CodePhone Number
Nominee 3 (Optional)
Name

First NameLast Name
E-mail
Phone Number (optional)

Area CodePhone Number
Nominee 4 (Optional)
Name

First NameLast Name
E-mail
Phone Number (optional)

Area CodePhone Number
Nominee 5 (Optional)
Name

First NameLast Name
E-mail
Phone Number (optional)

Area CodePhone Number
Click "Submit" below to complete your application.
Should be Empty:

SLA Nomination Form

Nominator Information

Nominee Information

Nominee 1

Nominee 2 (Optional)

Nominee 3 (Optional)

Nominee 4 (Optional)

Nominee 5 (Optional)