This browser no longer meets the security requirements of the PCI Security Standards Council, and support has been discontinued.
In order to continue being able to use secure applications, you will need to upgrade to a modern web browser, such as Google Chrome.
  •  
Search Davidson
Go to search

THE JOHN MONTGOMERY BELK SCHOLARSHIP PROGRAM

SCHOOL NOMINATION FORM

Each high school may nominate one or two students.

Instructions for Counselors

  • Complete this form for your school's nominee(s). (One student nomination per form.)
  • Attach an official transcript.
  • Attach a letter of recommendation for your nominee.
  • Completed nomination materials must be received by November 10 of the student's senior year.
  • Support your student in completing application to Davidson.  All forms are available online at www.davidson.edu/apply.
  • All admission materials must be received no later than 5:00 p.m.,  December 1.

Required fields indicated with *.

Nominee Ethnic Background (Optional)

Does the student self identify as Hispanic?
Ethnicity (select all that apply)
Nominee Birthdate*
Nominee Mailing Address*




Nominee GPA & Class Rank

To complete your nomination, either rank and class size or closest decile is required.

Nominee Course Rigor

Please select the caliber of this student's academic program in the context of the course offerings in your curriculum.

Supporting Documents

Please check the boxes to indicate these documents have been uploaded.* If the required transcript and recommendation letter are not uploaded, the nomination will remain incomplete and not move forward.

School and Nominating Representative Information

School Endorsement

Please provide the information below for the school official (principal/headmaster, vice principal, or guidance chair) certifying your school's endorsement of this nominee.