Students who wish to apply for Scholars of Distinction recognition in Leadership, Mathematics, Science, Social Studies, or STEM must complete and submit this form by 9:00 a.m. on December 21, 2019.

Applicants for the Theater Arts Scholar of Distinction must contact Stephanie Walseth at: stephanie.walseth@pcae.k12.mn.us for application instructions by the same deadline.

This form has been revised. To complete this form you will need to provide contact information for yourself, school, principal, and an additional adult contact.

Students who have or intend to collaborate with a classmate or mentor are required to identify and provide contact information for the individual.

*STUDENTS MAY APPLY FOR UP TO TWO AWARDS AND ARE REQUIRED TO COMPLETE A SEPARATE INTENT TO APPLY FORM FOR EACH AWARD CATEGORY.

**Please see the Scholars of Distinction webpage the new Quality Standards, Rules and Regulations document and list of important dates, project consultants, project criteria and assessment rubric.

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* 1. Please enter in the following contact information:

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* 2. Anticipated year of high school graduation

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* 3. Type of school you are attending - check all that apply

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* 4. School Information

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* 5. Building Principal

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* 6. The additional adult contact listed below is my

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* 7. Adult Contact Information

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* 8. Specialty Area of application - select only one. Students who wish to apply in more than one category must complete an Intent to Apply Form for EACH speciality area.

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* 9. Science and STEM applicants whose research involves the use of live animals are required to answer this question. I have read and agree to comply with the ISEF rules for the use of vertebrate animals in research available at: https://student.societyforscience.org/vertebrate-animals

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* 10. Is your project a collaboration?

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* 11. With whom did you collaborate?

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* 12. Is your collaborator an applicant for this award?

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* 13. Contact information for collaborator

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* 14. My project involves original research, an activity or experiment and is not a duplication of a previous project, experiment or activity.

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* 15. I understand it is my responsibility to inform my school advisor/counselor and the appropriate discipline specific department chair I have completed this form and will apply for a Scholar of Distinction Award during the current school year.

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* 16. The information I have provided is accurate to the best of my knowledge

Schools with student enrollment of up to 2,500 may submit up to six applicants per award category. Schools with student enrollment of 2,501 – 4,000 may submit up to nine applicants per award category. In the event the number of students interested in the award exceeds the proportional allotment per category, the school will required to determine which applications move forward for award consideration and notify the students of their decision. Schools required to select applicants must complete and submit one Scholars of Distinction Nomination List per category via the link on the Scholars of Distinction page by March 12, 2020.
Please note that NO confirmation will be sent for completion of this form.

IF YOU WISH TO RETAIN A RECORD, PLEASE PRINT THIS PAGE PRIOR TO SUBMITTING YOUR RESPONSES.

Thank you for your submission.

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