ACADEMICS, ARTS, and ATHLETICS AWARD
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1 Minnesota State High School League 2018 Triple A ACADEMICS, ARTS, and ATHLETICS AWARD Student Nomination Form Participating schools must submit applications to their region committee. The due date for applications will be determined by each region. NOMINATION FORMS MUST BE TYPED. Please make sure you have a current version of Microsoft Word installed in order for the form to work correctly. Student s Name: Gender: Male Female Home Address: City, State, Zip: Grade: Student s Student s Parent(s)/Guardian(s): Parent(s)/Guardian(s) Daytime Phone: Administrative Region: 1A 2A 3A 4A 5A 6A 7A 8A 1AA 2AA 3AA 4AA 5AA 6AA 7AA 8AA School Name: School Address: ISD #: City, State, Zip: School Phone: Principal s Name: Principal s Principal s Phone: AD s Name: AD s AD s Phone: NOMINATION CHECKLIST This application becomes complete and valid only when you have submitted: Nomination Form Student Essay Questions School Staff member s recommendation letter I certify that all of the information included in this nomination form is accurate. By checking this box and entering your name, you are confirming your signature electronically. Student s Name SCHOOL OFFICIAL Signature of the School Official verifies that all of the information included in this nomination form is accurate. By checking this box and entering your name, you are confirming your signature electronically. School Official (enter name) 1 Title
2 ACADEMICS (9 th 12 th Grade) Does your school use a weighted scale to determine GPA? Grade Point Average AP Courses (11 th 12 th Grade ONLY) IB Courses (11 th 12 th Grade ONLY) PSEO Courses College in School Concurrent Enrollment or more Not Courses Courses Courses Courses Courses Available National Merit Semi-Finalist Yes No In essay form and in 150 words or less, please highlight any additional information regarding your academic coursework (beyond listing academic content and grades) that you would like to share with the selection committee. FINE ARTS/ACTIVITIES (9 th 12 th Grade) BAND 9 th Grade 10 th Grade 11 th Grade 12 th Grade Not offered at my school Ensemble Contest Best of Site Participant - Superior Rating - /Honors All State Band - All State Jazz Band - 2
3 FINE ARTS/ACTIVITIES (con t) CHOIR 9 th Grade 10 th Grade 11 th Grade 12 th Grade Not offered at my school Ensemble Contest Best of Site Participant - Superior Rating - /Honors All State Choir - ORCHESTRA 9 th Grade 10 th Grade 11 th Grade 12 th Grade Not offered at my school Ensemble Contest Best of Site Participant - Superior Rating - /Honors All State Orchestra ONE ACT PLAY 7 th Grade 8 th Grade 9 th Grade 10 th Grade 11 th Grade 12 th Grade Not offered State Participant - SPEECH 7 th Grade 8 th Grade 9 th Grade 10 th Grade 11 th Grade 12 th Grade Not offered /Honors State Participant - State Finalist -place- -place- -place- -place- -place- - DEBATE 7 th Grade 8 th Grade 9 th Grade 10 th Grade 11 th Grade 12 th Grade Not offered State Participant - State Finalist -place- -place- -place- -place- -place- - 3
4 FINE ARTS/ACTIVITIES (con t) ROBOTICS 7 th Grade 8 th Grade 9 th Grade 10 th Grade 11 th Grade 12 th Grade Not offered MSHSL State Participant - State Finalist -place- -place- -place- -place- -place- - VISUAL ARTS 9 th Grade 10 th Grade 11 th Grade 12 th Grade Not offered at my school State Participant - Best of Site Participant - Superior Rating - In essay form and in 150 words or less, please highlight any additional information regarding your participation in fine arts activities that you would like to share with the selection committee. 4
5 ATHLETICS MN State High School League-Sponsored Activities Only FALL SEASON 7 th Grade 8 th Grade 9 th Grade 10 th Grade 11 th Grade 12 th Grade - - All State State Tournament Participant -place- -place- -place- -place- -place- -place- (Place) 7 th Grade 8 th Grade 9 th Grade 10 th Grade 11 th Grade 12 th Grade - - All State State Tournament Participant -place- -place- -place- -place- -place- -place- (Place) WINTER SEASON 7 th Grade 8 th Grade 9 th Grade 10 th Grade 11 th Grade 12 th Grade - - All State - State Tournament Participant -place- -place- -place- -place- -place- - 7 th Grade 8 th Grade 9 th Grade 10 th Grade 11 th Grade 12 th Grade - - All State - State Tournament Participant -place- -place- -place- -place- -place- - 5
6 ATHLETICS MN State High School League-Sponsored Activities Only (Con t) SPRING SEASON 7 th Grade 8 th Grade 9 th Grade 10 th Grade 11 th Grade - - All State State Tournament Participant -place- -place- -place- -place- -place- 7 th Grade 8 th Grade 9 th Grade 10 th Grade 11 th Grade - - All State State Tournament Participant -place- -place- -place- -place- -place- NOTE: MSHSL Trap Shooting is a Spring Activity. TRIPLE A AWARD STUDENT ESSAY QUESTIONS In essay form and in 150 words or less, please highlight any additional information regarding your participation in athletic activities that you would like to share with the selection committee. 6
7 TRIPLE A AWARD STUDENT ESSAY QUESTIONS (Con t) What college do you plan to attend next year and what do you plan to study? College Intended Degree Program Planned in Fine Arts and Athletics In essay form and in 250 words or less please share how your involvement in the arts, athletics and academic has developed and promoted your growth beyond performance (being a better athlete, musician, student). How has your involvement developed you as a person? 7
8 TRIPLE A AWARD SCHOOL STAFF LETTER OF RECOMMENDATION With the Triple A award comes the responsibility of being a role model. Please tell us in 250 words or less how this student is a role model in your school community. This Letter of Recommendation can also be submitted as a separate document. Name Relationship to Student 8 Revised 8/30/2017
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