Scholars of Distinction 2018-2019 School Nomination Form

Scholars of Distinction 2018-2019 Nomination Form

Nominations: Award Allotment

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 twelve applicants per award category. In the event the number of students interested in awards exceeds the proportional allotment per category, the school will be required to determine which applications will move forward for award consideration. Schools required to select applicants must complete the online 2018-2019 Scholars of Distinction Nomination List by March 15, 2019.

*STUDENTS WHO HAVE COMPLETED THE INTENT TO APPLY MAY BE NOMINATED IN UP TO TWO AWARD CATEGORIES.

This form should be completed by a discipline specific department chair, school counselor or principal.

Question Title

* 1. Who is completing this form?

First *

Last Name *

Role *

Email address

Daytime phone number *

Question Title

* 2. School Information

School Name

School District

School Address

City

State

ZIP

School Principal

Principal Email Address:

Phone Number (including area code)

Question Title

10*.

Please note that no confirmation will be sent for completion of this form.

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Thank you for your submission.