DLG Scholar Athlete Nomination Form

Welcome! Thank you for nominating a student athlete for the Davis Law Group Scholar Athlete Program. To nominate someone for the Davis Law Group Scholar Athlete of the Week, he or she must have at least a 3.0 GPA, have enough credits to be recognized as a senior and perform as a major contributor in his or her sport(s). Anyone can nominate a Scholar Athlete; peers, parents, coaches, teammates, teachers and administrators.

Starting in January, two Scholar Athlete’s are selected each week. One male and one female Scholar Athlete will be selected from the weekly winners to be recognized at an end-of-the-year banquet as the Davis Law Group Scholar Athlete of the Year. If your nominee doesn’t get selected this week, we will keep your nomination to be considered throughout the year. However, it never hurts to re-nominate in the future and update us on his or her performance! The more information you provide about the Scholar Athlete nominee, the better. Thank you for your nomination!

Your Contact Information

Full Name *

Email *

Phone Number

Relation to Nominee

Nominee Information

Nominee Name *

Nominee Email *

Picture of Nominee

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Home Address

City

State Alabama Alaska Arkansas Arizona California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Zip Code

High School *

Cumulative GPA *

Is the Nominee a Senior? *

Yes

No

Sport(s) and Other Organizations *

References - Name, Position, Email and Phone # *

ex. (John Smith, Coach, john@school.edu, 206-555-5555)

Why does the above named student athlete deserve recognition? *

How did you hear about the Scholar Athlete Program * School Administrator Coach Friend Newsletter Scholarship Website Internet Search Other

Other

Share this nomination form with friends and colleagues. We encourage multiple nominations for students by friends, family, teachers, coaches, etc. It improves the students chance of becoming a scholar athlete winner.