Nomination Form
Student's Name:
 Student's Address:
Student's Phone:
Where does this scholar athlete live?
School Name:
 School Address:
School Phone:
School Contact Name:
 Contact Relationship: (Coach, teacher, etc.)
Grade Level:
 Graduation Year:
 Most Recent GPA:
Sport(s) Played: (As a member of an organized team.)
Please tell us why your nominee is deserving of the McDonald's®/WZZM 13 Scholar Athlete of the Week honor. Try to keep each of the following responses to 100 words or less.

Athletic Accomplishments and Goals:
Academic Activities, Achievements and Future Aspirations:
Community Involvement and Volunteerism:
About You
Nominator's Name:
 Nominator's Address:
Nominator's Phone:
Nominator's E-Mail Address:
 Relation to Nominee:
 Years Known:
Please check your responses and press "submit":