GOM Biographical Information
Information entered on this form will be used during the Graduate of Merit Awards Banquet.

You may only submit ONE form.

Please answer CONCISELY  (limited characters available).

Check ALL SPELLING AT LEAST TWICE!

PROOF before submitting as corrections cannot be made once submitted.

College/Future plans will be confirmed in early April in case a change occurs.


Email *
First Name *
Middle Name *
Last Name *
Suffix (if applicable)
School *
If you participate in an off-campus school, please indicate below.
Parent Information - Please reference the examples and type as they wish to be acknowledged at the banquet.   *
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Future Plans
Please provide information below regarding your plans for the future including college, if applicable.  These plans will be confirmed in early April prior to finalizing the details of the awards banquet.
What are your plans for next year? *
If planning to attend a college, community college, or technical school, please list the school and location (ex. Averett University, Danville, VA).
Have you been accepted into this school/program?
Clear selection
If planning to enlist in the military, which branch of service?
Please briefly describe your career goals.  (ex. BS in Elementary Education, Biology with a Pre-Medical concentration, Welder, etc.) *
A copy of your responses will be emailed to .
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