SCHOLAR-ATHLETE LEADER AWARD

GRADUATING SENIORS NOMINATION FORM

BOYS

BASEBALL Ralph Owen Award
BASKETBALL Sam Madden Award
BOWLING Award
FOOTBALL John Shada Award
GOLF Tom Connell Award
ICE HOCKEY Award
LACROSSE Mike Jolly Award
SKIING Award
SOCCER Bro. George Synan Award
SWIMMING Bernard Krzywada Award
TENNIS Msgr. Carroll Deady Award
TRACK Joe Pascuzzi Award
WRESTLING Mike Rodriguez Award
X-COUNTRY Frank Guyott Award
GIRLS
BASKETBALL Frank Connolly Award
BOWLING Award

FIELD HOCKEY Award

CHEERLEADING Award

GOLF Award

ICE HOCKEY Award

LACROSSE Award

POM PON Award

SKIING Award

SOCCER Award

SOFTBALL Rev. John Zwers Award

SWIMMING Deloris Yager Award

TENNIS Harvy Barcus Award

TRACK Sr. M.L. Affholter Award

VOLLEYBALL Edith Glusac Award

X-COUNTRY Hal Schram Award

Only one (1) athlete may be nominated in each sport. Must be a Senior with a 3.2 G.P.A. or better.

Student Name: ______

Address: ______City: ______Zip: ______

School: ______Sport: ______

Candidate CUM GPA: ______Class Rank: _____ of ______Highest GPA in School ______

______Guidance Counselor’s Signature for Verification of Information

CANDIDATES SHOULD COMPLETE ALL SECTIONS BELOW. Do not be modest. Every bit of information will be used by the Executive Board to assist with the selection process.

I. ACADEMICS

List all academic awards, accomplishments, scholarships, etc…

ACADEMIC/SUBJECT / 9 / 10 / 11 / 12 / ACCOMPLISHMENTS

II. LEADERSHIP

List all elected or appointed leadership positions held in school, community, or work activities. List only those positions in which you were directly responsible for directing or motivating others. For example: elected student body, class, club officer, committee chairperson, team captain, newspaper editor, work area manager, or community leader.

LEADERSHIP / 9 / 10 / 11 / 12 / ACTIVITY OR ORGANIZATION

III. CO-CURRICULAR/COMMUNITY ACTIVITIES

List community activities in which you have participated beyond required service hours for graduation and note any major accomplishment in each. These should include activities with or without your school in which you participated for the betterment of your community. For example: church groups, clubs, soup kitchens, pro-life, Boy/Girl Scouts, volunteer groups, rallies or community art endeavors.

COMMUNITY ACTIVITY / 9 / 10 / 11 / 12 / HRS/WEEK / MAJOR ACCOMPLISHMENT

IV. ATHLETIC AWARDS

Please list Varsity letters earned All-Academic, All-League, All-Catholic, All-County and All-State by sport.

SPORT / 9 / 10 / 11 / 12 / AWARD

V. PRINCIPAL’S COMMENTS ON STUDENT-ATHLETE

______

Principal’s Signature

VI. LETTERS OF RECOMMENDATION

Please attach two (2) letters of support or recommendation from school principal, administrator or designee (Counselor, Athletic Director or Teacher) for the nominated sport.