Triple "A" Nomination Form and Instructions
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1 Triple "A" Nomination Form and Instructions NOMINATION FORMS THAT ARE NOT TYPED WILL NOT RECEIVE STATE AWARD CONSIDERATION. TYPE ALL INFORMATION AND ANSWER ALL QUESTIONS IN THE SPACE PROVIDED. PRINT A COPY OF THE COMPLETED FORM AND SUBMIT TO YOUR HIGH SCHOOL ATHLETIC DIRECTOR. Please list all of the activities you have been involved in. Below are sample activities you may list on your application form. Do not use acronyms or abbreviations. Indicate the number of hours involved in each activity per week, per month, or per year (i.e. 10/wk). Include only those activities that require eight or more hours per week, per month, or per year. When completing the Triple A nomination please consider the following: Academic Activities: This category includes non-league-sponsored activities, which may include, but are not limited to, the activities listed below. Do not include honor roll, class rank, or team academic awards. Write class in the hours column if the activity is part of your course work. Academic Quiz Bowl Academics Decathlon Future Problem Solving Inroads Knowledge Bowl Language Clubs Math League Multi-Cultural Program/Clubs National Honor Society National Merit Finalist National Merit Semifinalist Destination Imagination Peer Tutoring/Counseling Science Challenge Scholar-athlete awards Spotlight on Scholarship Certificates Upward Bound MSHSL Athletics Do not list scholar-athlete awards if they are listed under Academic Activities. Team captain All-state honors All-conference honors School/team awards All-city/metro honors Team member or manager Number of years on team All-Tournament teams All-American honors Fine Arts Activities (School/Community) Any involvement in state, section, subsection, school or community-sponsored activities such as instrumental/vocal music, drama, debate, visual arts or speech. Write class in the hours column if the activity is part of your course work. Band (includes marching and pep) Choir Orchestra Debate Speech One Act Play Visual Arts Lead/major role in play/musical All-state honors Student director of a play/musical Soloists First chair or section leader in music Best of Site awards Participation in select music groups (e.g. show choir, jazz band) Participation in one or more fine arts activity MN Youth Orchestra Number of years in activity All-American honors Other School Activities and Volunteer Community Service: Indicate the approximate number of hours involved in each activity. Please include only those activities that require eight or more hours per week, per month, or per year (i.e. 10/mo). DO NOT list paid positions. Other School Activities: Boys/Girls State Government Class officer Future Farmers of America Future Homemakers of America Key Club Mock Trial School musical School newspaper Student Council Target Leadership Yearbook staff Youth in Government Other school activities which require additional time to serving your school and/or student body. Community Involvement: Non-profit, Civic, youth, or professional organizations Church, Synagogue or Mosque involvement Hospital or health services Community theater Other community service projects which require non-school time to serving your community
2 SAMPLE SAMPLE SAMPLE Nomination form Academic Activities (no honor roll) Academic Quiz Bowl National Honor Society 00-01/ President National Merit Finalist Peer tutoring 8/week German Club MSHSL Athletic Activities (list sport once w/awards) Soccer 99-00, 00-01/Lettered Varsity Captain All City All Conference Basketball State Tournament Offices held, awards/honors Awards/honors, records, outstanding performances, etc. Track: 4 4 relay State: 2000/Silver; 2001/gold Who s Who in Sports All Stars Fine Arts Activities (School/Community) (list activity once w/awards Band, marching, pep Class Jazz 10/wk Awards/honors, records, outstanding performances, etc. Section leader/featured soloist Superior Rating at Contest Jazz, French Horn Quartet 8/wk 99-00/Best of Site Award Choir Class Section leader Other School Activities & Volunteer Community Involvement Church 50/yr Offices held, awards/honors, records, outstanding performances, etc. Nursery work, preschool setup, Sunday School teacher, youth group leader Kiwanis Tennis Camp 12/yr Volunteer Coordinator/Instructor Community Theater 12/mo Adopt A Highway 8/yr Meals on Wheels 10/mo
3 ACADEMICS, ARTS, AND ATHLETICS AWARD STUDENT NOMINATION FORM Forms Must Be Typed Participating schools must TYPE and MAIL NOMINATION FORM(S) TO THEIR ADMINISTRATIVE REGION SECRETARY OR REGION DESIGNEE no later than January 14, 2008 (or a date specified by your region committee). DO NOT SEND TO THE LEAGUE OFFICE! Please include with each nominee's form the following: 1. One letter of recommendation from a faculty member (see attached form) 2. Student essay (see attached form) Complete one form for each student nominated from your school. Note: Computer-generated forms, supporting documents, or any other additional materials will not be considered by the selection committee. Student's name School name Administrative Region (Please circle) levels at your school (i.e. 9-12; 10-12) 1A 2A 3A 4A 5A 6A 7A 8A 1AA 2AA 3AA 4AA 5AA 6AA 7AA 8AA School Address Name of Principal Street City Zip School phone number School FA number Independent School District No. Name of Superintendent School District address Student s parent(s) guardian(s) Parent(s)guardian(s) address Home telephone number Street City Zip Home town newspaper & address Newspaper telephone number FA number How did you hear of this program? School Internet Other* *if other, please explain Nomination Checklist This application becomes complete and valid only when you have submitted: Nomination form Student essay Faculty member s letter of recommendation
4 Students name Point Average (based on 4.0 grading system): Class Rank: ACADEMIC ACTIVITIES (no honor roll or class ranking) Offices held, awards/honors MSHSL ATHLETIC ACTIVITIES (list sport once w/awards) Awards/honors, records, outstanding performances, etc.
5 Students name FINE ARTS ACTIVITIES (School/Community) (List activity once w/awards) Awards/honors, records, outstanding performances, etc. OTHER SCHOOL ACTIVITIES & VOLUNTEER COMMUNITY SERVICE Offices held, awards/honors, records, outstanding performances, etc.
6 Triple A Student Essay Student Name School In 250 words or less, describe what you plan to do after high school (college/career plans) and explain how your participation in athletics and fine arts activities has prepared you to achieve this goal. The essay must be one-sided, typewritten and double-spaced on this form.
7 Triple A Award Faculty Letter of Recommendation Student Name School Written by (name & title) In 250 words or less, please explain why the nominee is worthy of this award. Letter must be one-sided, typewritten, and double-spaced on this form. JR:ne-ta/ta web form nom & instructions 12/5/05
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