Nominate a Student

In recognizing the value of community, we heavily rely on its members to help support us in our mission to find students who may benefit from participation in The Grace Madeline Foundation. This nomination form is intended for school faculty, teachers, coaches, administrators, and community leaders who would like to nominate a female student for fellowship in The Grace Madeline Foundation.

Please fill out the following form to nominate a student:

Your Name

First Name

Last Name

Your Email

Student Nominee's Name

First Name

Last Name

Student Nominee's Email

What is your Faculty Position (e.g. Calculus Teacher)?

If you are not a school faculty member please describe your relation to the student nominee (e.g. employer, coach, etc.).

Name of Student Nominee's High School

Student Nominee's Principal Name

First Name

Last Name

Brief description of your relationship to the student you are nominating

Most recent grade of completion by the student nominee

If you selected "Other" above, please indicate below

Nominee's desired field of interest/study

If you selected "Other" above, please indicate below

What is the student nominee's actual or expected high school graduation date?

Example: Spring 2020

What college/university will the student nominee be attending?

Has the nominee received acceptance to this school?

Yes

I don't know

Please write a brief description of why you are nominating this student for mentorship and financial assistance through the Grace Madeline Foundation. If awarded as a recipient, please indicate how this nominee will benefit.