Student Leadership Form

Name*

First Last

Hometown*

Email*

Will you be attending the Pathways to Success event?*

Yes
No

Number of guests attending*

List all the activities in which you have participated at NIACC, at work, and in your community*

Use the “+” button to add to the list

What are your future plans?*

Describe what you like best about NIACC.*

What has been your favorite class at NIACC and why?*

What is your favorite leadership quote?*

This information is used to create a commemorative booklet for this year’s Pathways to Success honorees. Please feel free to answer any of these additional questions to be used in the booklet as needed.

What’s your proudest achievement during school?

What’s one thing you've learned about yourself this year?

Who or what has inspired you the most?

What’s your favorite memory from this school year?

What’s your dream job?

What’s a fun fact about you that most people don’t know?

If you could instantly master any skill, what would it be?

If your leadership journey were a movie, what would the title be?

What’s one goal you’re working toward now?

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Student Leadership Form