2018 Presidential Scholar Nomination Form
DEADLINE DECEMBER 1, 2017
General Information
Student Name (First and Last) *
Your answer
Nominated By (Name and Position): *
(Person nominating can be a principal, teacher, school counselor, home school parent, or the student her/himself. STUDENTS: If you are self-nominating, please include the name of a sponsoring adult.)
Your answer
Sponsoring Adult:
(If student is self-nominating)
Your answer
School Principal (if not nominator): *
Your answer
School Principal Email: *
Your answer
Name of school nominee will be graduating from: *
Your answer
Date of anticipated graduation: *
Your answer
Your answer
School Address: *
Your answer
Parent / Guardian 1 Name: *
Your answer
Parent / Guardian 1 Address: *
Your answer
Parent / Guardian 2 Name:
Your answer
Parent / Guardian 2 Address (if different from above):
Your answer
Tell Us About Your Nominee
1. Please tell us about this student's service to school and community. In what service activities has she/he been involved? How did these activities make a difference for the community? In what ways does she/he exhibit responsible citizenship? *
Your answer
2. Please tell us about this student's academic achievements. In what ways does she/he excel academically? How does she/he demonstrate flexibility, self-direction, and the ability to problem solve in an academic setting? *
Your answer
3. Please tell us about this student's character and leadership. What about this student makes him or her stand out as having outstanding leadership and promise of future success? *
Your answer
4. What was unique about this student's pathway to excellence, including any challenges he or she might have faced? *
Your answer
Student Writing Sample
Please note that this year we are requesting a student writing sample. If you are an adult nominating a student, please copy and paste the student's response to the following prompt in the space below.
5. What do you hope to be doing one year from today? Why? What inspired you to go down this path?
Please answer in 300 words or less
Your answer
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