N.C. High School Scholars Nomination Form
Nominee
*
Male
Female
Nominee's Name
*
First Name
Last Name
Nominee's Email
*
example@example.com
Nominee's Year in School
*
ex: first-year, sophomore, junior, senior
Nominee's Phone Number
*
(XXX) XXX-XXXX
Nominee's Date of Birth
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Nominee's Parent/Guardian Name
*
First Name
Last Name
High School Name
*
High School Phone Number
*
(XXX) XXX-XXXX
High School City and State
*
City, N.C./S.C.
Nominee's GPA
*
ex. 4.0
Nominee's SAT Score (Math/Writing)
*
ex. 1550
Nominee's Class Rank or # in class
if applicable
Nominee's Extracurricular Activities
*
Nominee's Community Activities/Service
*
Nominee's Academic Organization Participation
*
Nominee's Awards
*
Letter of Recommendation (300 word max)
*
Nominator's Name
*
First Name
Last Name
Nominator's Email
*
Nominator's Relation to Nominee
*
Nominator's Phone Number
*
(XXX) XXX-XXXX
Nominator's Date of Birth
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Submit
Should be Empty: