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					           SCHOLAR-ATHLETE FORM
We are looking for nominations for top scholar-athletes. An ideal candidate would be a
first- or second-team All-County athlete with an SAT score of at least 1,000, or ACT of
21, and a GPA of 3.0. Schools are allowed to nominate one person per gender.

NOTE: All forms are due back by March            23. Schools that do not return forms will
not be included.

Name of your nominee: ____________________________

School: _______________________________

Home number: _______________________ Cell: ___________________________

Athletic director: _______________________________

AD’s Home number: _________________________ Cell: ______________________

Overall high school GPA (unweighted): ________________ weighted: ______________

What is the highest number of points (4.0, 5.0, 6.0) that a student can receive for a class
at your school? ______________________

Class rank and how many are in the senior class: ____________________________

Graduation day: ________________________

College the nominee plans to attend:
____________________________________________

Subjects the nominee took in senior year:
________________________________________

________________________________________________________________________

SAT score or ACT score (must have one or the other for the person to be eligible as one
of the 10 finalists): ________________________________________________________

Highlight the nominee’s sports accomplishments:
________________________________________________________________________

________________________________________________________________________

________________________________________________________________________
________________________________________________________________________

________________________________________________________________________

Highlight the nominee’s academic accomplishments:
________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

Highlight this nominee’s community service accomplishments (you may use the back of
the page or enclose additional material):
________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

Please return this form via fax to 305-376-3583 or via email to sports@miamiherald.com.
Please call the Sports Desk at 305-376-3700 after 6:30 p.m. to confirm we received it.
Thank you.

				
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posted:10/4/2012
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