The Winslow Nichols Leadership Award Submission Form

The Winslow Nichols Leadership Award Submission Form

Student's Name

Student's School

County of Residence

Select or enter value

Grade Level

Select or enter value

Nominator's Name

Nominator's Role

Nominator's Phone Number

Nominator's Email Address

Student's GPA

Extracurriculars

List any extracurriculars this student is a part of.

Community Involvement

List any community activities this student has participated in.

Awards/Honors

List any awards or honors this student has received.

In Your Own Words

The Winslow Nichols Leadership program highlights well-rounded students who excel academically, contribute to their communities, display leadership skills, and show initiative beyond what is required of them. In your own words, how does this student demonstrate that?

Submission Date*

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