Student's Name:

High School where currently enrolled:

Home Address:

Home City:

Home State: Home Zip

Home Phone:

email:

Is the student currently enrolled as a senior for the 2007 - 2008 academic year?
Yes No

Has the student maintained a 3.0 grade point average during their High School career?
Yes No I'm Not Sure

Which IHSAA sanctioned sports does the student currently participate in?

Why does this student deserve this award?

Enter Your Information Here:

Who is submitting this nomination? (name)

How do you know the student?

What is your email address?

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NOTE: after you click submit, you will be asked to approve the sending. Simply click yes when prompted.

DEADLINE: Two students will be selected from the submitted pool of applicants each month - one scholar male athlete, and one scholar female athlete. To be considered for any given month the nomination must be submitted before the 17th. Multiple nominatioins is not necessary, and does not increase the probability of selection.

Or you can mail this information to:
ATTN: IHSAASports.org Editor
Dial One Hour Scholar Athlete Award
40 Monument Circle, 4th Floor
Indianapolis, IN 46204