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STRAIGHT "A" NOMINATION FORM
Name
Birth Date
Gender:
Home Address

City

State
Zip

Phone Number (Home)

Email
High School
High School Address

City

State
Zip

Phone Number

Class

If Senior, college Attending
Next Year

Administrator Name*

Phone Number
*An AMF representative will contact the school to verify the application
*If the senior you are nominating is selected to be a finalist, then the student will be asked to write a personal essay about their life to share at the event.
*This information will not be shared without written consent from the student.

Does the candidate possess a cumulative Academic grade point average of 3.0 or higher?

Please describe the candidate's school-sponsored Athletic participation.

Sport (i.e. Football)

Years (i.e.3)
Varsity Letters
(i.e. 2)

Sport

Years
Varsity Letters

Sport

Years
Varsity Letters

Sport

Years
Varsity Letters
Please describe the candidate's
community-related Activities
Please describe situations in which
the candidate has overcome Adversity.
Please be descriptive.
Please describe the candidate’s career
ambitions and how he/she plans to reach the goals
Please describe the candidate’s Attitude
Nominator Name
Relationship to Candidate

Nominator Phone

Nominator Email

Where did you hear about this award?