islander scholars

scholar selection form

 

Public school principals, please use this form to identify and describe the junior that your school has selected as your 2017 Islander Scholar. The deadline for this form is February 28, 2017.

We recommend that the more detailed questions about your Islander Scholar be answered by a person who knows the student well.

Please plan to make an official announcement for your Islander Scholar on March 17, 2017. You will receive materials to present to your Islander Scholar. The way in which it is announced is left up to you; it can be small or school wide. Some past presentations have included parents, teachers, counselors, and/or other members of the school community.

SCHOOL INFORMATION
Principal's Name *
Principal's Name
Person who nominated Scholar (if other than the principal)
Person who nominated Scholar (if other than the principal)
School liaison for program (if other than the principal)
School liaison for program (if other than the principal)
School Liaison's phone
School Liaison's phone
ISLANDER SCHOLAR'S INFORMATION
Student Name *
Student Name
Student Phone
Student Phone
Student Mailing Address
Student Mailing Address
GUARDIAN INFORMATION
Guardian Name *
Guardian Name
Guardian's Phone
Guardian's Phone
Guardian's Mailing Address (if different)
Guardian's Mailing Address (if different)
ADDITIONAL INFORMATION