Outer Coast Summer Seminar 2019 Nomination Form
Please use this form to nominate a high school sophomore or junior who you think would be a good fit for the Outer Coast Summer Seminar (described in full detail at goo.gl/WB7742).

The Outer Coast team will reach out to nominated students and provide them with more details about the program.

You may nominate multiple students. Please submit one form per student.

If you have questions, please contact info@outercoast.org.

Student First Name *
Your answer
Student Last Name *
Your answer
Student Email (if available, so we can contact them)
Your answer
Student Phone Number (if available)
Your answer
If student email and phone number are unavailable, what is the best way to contact them?
Your answer
Student High School *
Your answer
State *
Your answer
Student's Current Grade *
Student's Anticipated High School Graduation Year *
Your answer
Your Full Name *
Your answer
Your Email *
Your answer
What is your relationship to the student? *
Your answer
How long have you known the student? *
Your answer
Is there anything else you would like us to know?
Your answer
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