Scholar Athlete Nomination Form

Your name (required)

Your school (required)

Your title (required)

Your email (required)

Scholar Athlete name (required)

Scholar Athlete home address (required)

Scholar Athlete city (required)

Scholar Athlete state (required)

Scholar Athlete zip (required)

Scholar Athlete home phone (required)

Scholar Athlete cell phone (required)

Scholar Athlete email (required)

Scholar Athlete team position




Scholastic and athletic honors

Class rank


SAT scores

Extra-curricular activities and community service Involvement

Parents' name (required)

Parents' address (required)

Parents' city (required)

Parents' state (required)

Parents' zip (required)

Parents' email (required)

In addition to the application form, we need a formal photo of the athlete with the student's name and school clearly identified. Please email in JPG or PDF form to (we'll send you a reminder email).

Basis of recommendation

The criteria for the Scholar-Athlete Award, as established by the National Awards Committee, are 40% academic achievement, 40% athletic ability, and 20% citizenship.

Coach’s Statement of Recommendation: (required)
(Please write a one paragraph statement on points you would like to be mentioned at the Dinner. Please include any honors the student has achieved (football and others if applicable), college he plans to attend along with a “quote” from you).

Criteria Reminder: 40% Academic -- 40% Athletic -- 20% Citizenship

Thanks for your help!

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