2014 Nomination Form

PARENTS, COACHES, AND TEACHERS CAN NOMINATE A GRADUATING SENIOR.

More than one person can nominate the same girl.


Nominee's Name
Club Name Team Name
Nominee’s Address City
State Zip Code
Phone Email

Please write a brief description of contributions made by the nominee in each of the categories below. The nominee does not have to make a contribution in all categories to qualify, but does need to have a cumulative High School (9th-12th grade) GPA of 3.5 or higher.


Cumulative GPA
Senior Year GPA
Sports Achievements
Academic Achievements
School Leadership
Community Service
Other Special Contributions

The top five girls will each receive a $500 scholarship. From the nominees the Selection Committee will choose several girls to participate in the Opening Ceremony. All the nominees will be listed in the Souvenir Program and will be included in a reception in their honor.


Name of Person making this nomination
Check Position of Nominator
Parent
Club Director
Coach
Teacher
other
If other describe roll played in nominee’s life
Phone number and/or email address of person making the nomination