LBJ Civic Leadership Award Self-Nomination Form

The LBJ Civic Leadership Award is named for the former US President and alumnus, Lyndon Baines Johnson. This award honors those students who embody LBJ's legacy of service, education and leadership by inspiring others, encouraging them to excel academically, and live meaningfully engaged lives, through public service to create a lasting impact on Texas State and the surrounding community.

Faculty, staff, and students (undergraduate and graduate) can nominate undergraduate students for this award. Self-nominations are also accepted.

Your Name *

Your Net ID *

TXST email address *

Civic Engagement

How do you strive to give back to your community? If applicable, what civic engagement or service opportunities are you involved in? *

How do you seek to empower others in your community? *

Leadership Experience

How do you lead by your values? *

In what ways do you strive to develop your leadership skills? *

Co-Curricular Experience

Attach Resume. *

If not indicated on the attached resume, please list your involvement on and off campus. Including, but not limited to, research, peer mentoring, student organization involvement, employment, etc.

Reference

One Letter of Recommendation is also required and may be submitted directly to the Information Desk in the LBJ Student Center or emailed to m.harrell@txstate.edu. Please provide the information below for a professional reference.

Reference Name *

Employer *

Title / Position *

Reference Email Address *

Letter of Recommendation Confirmation *

I understand that I must ensure that a Letter of Recommendation is sent to the Information Desk in the LBJ Student Center in-person or via email to m.harrell@txstate.edu for my application to be considered.

If you happen to see this, do not fill this field.