THE BRYAN SCHOLARS PROGRAM

Nominee Last Name*

Nominee First Name*

Nominee Middle Name

Nominee Sport*

Nominee Gender*

Nominee Birthdate*

Nominee Ethnic Background (Optional)

Does the student self identify as Hispanic?

No

Yes

Ethnicity (select all that apply)

Nominee Mailing Address*

City
Region
Postal Code

Nominee E-mail Address*

Nominee Phone Number*

Nominee High School Graduation Year*

Nominee GPA & Class Rank

GPA*

GPA Scale*

Rank

Class Size

If your school does not rank, please approximate rank to the closet decile

In this senior class, what is the approximate percentage of students who will attend a four-year college or university?

Nominee Course Rigor

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

Supporting Documents

Official High School Transcript*

Scholarship Recommendation Letter*

Please check the boxes to indicate these documents have been uploaded.*

Official High School Transcript

Scholarship Recommendation Letter

School and Nominating Representative Information

High School Name*

CEEB*

Nominating Representative*

Title*

Phone Number*

E-mail*

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.

Name*