JROTC Leadership Award Nomination

This form is to be completed by a nominating official only. You may nominate up to three students per year.
View more scholarship information.

Your Name (Nominating Official)

Your Title (Nominating Official)

Your Email (Nominating Official)

Your Phone Number (Nominating Official)

High School

High School CEEB Code

Student Information

Does the student meet the requirements below?
Must be a high school senior participating in a JROTC program at the time of nomination AND
will have completed the following by the time they graduate from high school:

• Four years of English

• Four years of math

• Three to four years of laboratory science

• Three years of social science

• Four years of English

• Four years of math

• Three to four years of laboratory science

• Three years of social science

Yes

**The student is not currently eligible for this award. Please have the student contact their Norwich Admissions Counselor to learn about other scholarship opportunities that may be available to them. Thank you.**

Student First Name

Student Last Name

Student Birthdate

Student Email Address

Student Phone Number

Student Mailing Address

Country

Street

City

Region

Postal Code

Nomination Comments:

Of your three maximum nominations this year, how would you rank this student?

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JROTC Leadership Award Nomination