The Reagan Leadership Medal allows schools to recognize outstanding high school students whose drive, integrity, and citizenship qualities are emblematic of our nation's 40th President. Only guidance counselors, career counselors, principals, and vice-principals are permitted to nominate students. Email addresses for the student nominated are optional. Any nominees without an email address will have any future opportunities communicated to them through the email of the person who nominated them.

School Information

School Name

School Street Address

School City

School State/US Territory

School Zip Code

Nominator Information

Nominator First Name

Nominator Last Name

Nominator Title

Nominator Email

Nominator Phone Number

Nominee Information

Nominee First Name

Nominee Last Name

Nominee Email (OPTIONAL)

Nominee Zip Code

Expected High School Graduation Date

Prospective College

What is the date of your award ceremony?

How is this student representative of a citizen leader?

Contact Information