HON. WILLIAM F. DANNEHOWER AWARD STUDENT / ATHLETE NOMINEE FORM (To be submitted by student.) Before you fill out this form, download THIS CHECKLIST to ensure you are prepared. Nomination Entry Deadline is April 17, 2020. If you are human, leave this field blank.Student InformationEnter your information below NameAgeAddressCountryUnited States (US)United Kingdom (UK)CanadaAustralia---AfghanistanÅland IslandsAlbaniaAlgeriaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAmerican SamoaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelauBelizeBeninBermudaBhutanBoliviaBonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongo (Brazzaville)Congo (Kinshasa)Cook IslandsCosta RicaCroatiaCubaCuraÇaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqRepublic of IrelandIsle of ManIsraelItalyIvory CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao S.A.R., ChinaMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorwayOmanPakistanPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalQatarReunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Martin (Dutch part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSan MarinoSão Tomé and PríncipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia/Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUruguayUzbekistanVanuatuVaticanVenezuelaVietnamWallis and FutunaWestern SaharaWestern SamoaYemenZambiaZimbabweCityStateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict Of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces (AA)Armed Forces (AE)Armed Forces (AP)American SamoaGuamNorthern Mariana IslandsPuerto RicoUS Minor Outlying IslandsUS Virgin IslandsZip codePhoneEmailHigh SchoolCollege Attending Parent(s) / Guardian(s) InfoEnter the information for your parent(s) or Guardian(s). Parent / Guardian #1 PhoneEmail Parent / Guardian #2PhoneEmail ScholarshipEnter your information. Cumulative Grade Point AverageClass Rank or % RankNumber of StudentsTop 5%Top 10%Top 20% SAT ScoresVerbalMathWritingSAT Total ACT ScoresAct Total Scholastic Honors10th GradeCoursework Visual Text Advanced Placement CoursesVisual Text Honors/Accelerated CoursesVisual Text 11th GradeCourseworkVisual Text Advanced Placement CoursesVisual Text Honors/Accelerated CoursesVisual Text 12th GradeCourseworkVisual Text Advanced Placement CoursesVisual Text Honors/Accelerated CoursesVisual Text Sports AccomplishmentsWhich teams and years did you participate?Visual Text Varsity LettersVarsity Letter YearsCheck each grade you received a varsity letter. 101112Sports HonorsDescribe any honors or awards you have received as an athlete.10th GradeVisual Text 11th GradeVisual Text 12th GradeVisual Text School / Religious / Community ServiceDescribe your community service clubs, organizations, and/or offices held.Please be descriptive and explain how you serviced your community. Visual Text Student StatementPlease answer the following question in 500 words or less.Why where you chosen to be your school's nominee for the William F. Dannehower Award?Visual Text 3 Photos of StudentUpload 3 photos, one class photo, one action photo in the sport of your choice and one fun photo with family, friends or something that exhibits your community involvement..Class PhotoAction photo in the sport of your choiceFun photo with family, friends or something that exhibits your community involvement.*If you are unable to upload at this time, please have your nominee email photos to: gregpoehlmann69@yahoo.com Letters of RecommendationUpload letters of recommendations from one coach, one teacher and one active community member. (.doc, .jpg, or .pdf)by Coachby Teacherby Community Leader School Representative InformationPlease provide the contact information of your school's representative who will be certifying the information you have entered. They will receive an email with the information you entered and further instructions.NameJob TitlePhoneEmail Submit Your EntryPlease read the statement and check the box.To the best of my knowledge, all of the information entered on this form is correct. Submit
