Student Athlete Spotlight Application

Student Athlete Spotlight Application

Form Date Field*

NOMINATION REQUIREMENTS*

Student Athlete plays a competitive sport
Student Athlete has a GPA of 3.0 or higher
Student Athlete is active in community outreach

STUDENT ATHLETE'S NAME*

STUDENT ATHLETE'S EMAIL*

AGE*

GPA*

SPORT*

Select

COMMUNITY OUTREACH HOURS*

PURPOSE OF NECOGNITION*

Provide a brief description of the student athlete's achievements, contributions, or participation

NOMINATOR'S NAME*

Individual nominating the student athlete

NOTE: The parent(s) or legal guardian(s) will need to approve the nomination by filling out the media and photo release form

NOMINATOR'S EMAIL*

NOMINATOR'S PHONE NUMBER*

Phone

PARENT(S) OR LEGAL GUARDIAN(S) NAME*

PARENT(S) OR LEGAL GUARDIAN(S) EMAIL*

DISCLOSURE*

By checking the box below, you acknowledge and agree to the nomination requirements outlined at the top of the form. Both the student athlete and their parent(s) or legal guardian(s) will receive an email from a Student Athlete Consortium representative to confirm approval of the nomination. After approval, the media and photo release form must be submitted.

Send me a copy of my responses

Privacy Notice|Report Abuse