2019 Outstanding Future Professional Nomination Form
This is an exciting opportunity for undergraduates to become involved with MAHPERD and to be recognized for their accomplishments. All Maine nominees will be honored at the Maine AHPERD conference at the Samoset Resort on Monday, November 4, 2019. The following minimum criteria must be met in order to qualify:

• Students must attend a college or university within the Eastern District
• Students must be an undergraduate majoring in an HPERD discipline
• Students must be a current member of Maine AHPERD.
• Documentation of SHAPE America membership will be required to attend the SHAPE America Eastern District Conference
• A two-year active membership in the state affiliate is suggested, but not required
• Minimum grade point average of 3.00 (4.00 = A)
• Academic achievement other than grade point average
• Participation in HPERD organizations
• Involvement in university organizations
• Contributions to their major department
• Contributions to the community
• Professional potential/leadership qualities
• Individual accomplishments/honors/awards

Please complete this nomination form no later than May 30, 2019. Thank you for taking the time to provide this opportunity to your students.

Your name *
Your answer
College or University you are affiliated with *
Your answer
Your e-mail address (this will only be used if we need additional information about this nominee. *
Your answer
Student (1) who you would like to nominate for a MAHPERD Outstanding Future Professional *
Your answer
Student (1)'s e-mail address *
Your answer
Please share with us why you think Student (1) would be a good Outstanding Future Professional *
Your answer
Student (2) who you would like to nominate for a MAHPERD Outstanding Future Professional
Your answer
Student (2)'s email address
Your answer
Please share with us why you think student (2) would be a good Outstanding Future Professional
Your answer
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