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Champions of Diversity Nomination Form

10/15/2009 5pm: Nominations are now CLOSED
for the 2009 Champtions of Diversity Awards

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Skagit Valley College in partnership with Western Washington University, University of Washington, Washington State University, Central Washington University, Eastern Washington University and The Evergreen State College seeks nominations for ninth-twelfth grade students from Skagit, Island and San Juan county high schools who have contributed to diversity on their campuses and in their communities. Nominated seniors will be considered for scholarships offered by colleges throughout the state. Nominations are due by Thursday, October 15, 2009. Selected students will be honored December 1, 2009 at the Champions of Diversity Awards Ceremony to be held in McIntyre Hall..

Champions of Diversity Award Nominee Information

First Name:    Last Name:

Address:  

City:      State:     Zipcode:  

Phone No:    Birthdate M/D/Year: 

High School:      GPA:     Grade in School:  

Please describe how this student has contributed to diversity through leadership and/or community service. (35-50 maximum words.)
It is important to also briefly summarize what the nominee would like to study. This text will be used as the script for awarded students on the night of the event.

Scholarship Nomination

This section should only be filled out if you are nominating a senior for a scholarship. It is not necessary if you are nominating a student just for a Champions of Diversity Award.

I would like to nominate this high school senior for a scholarship from the following school(s):
Skagit Valley College    Western WA. Univ.    Washington State Univ.   
Univ. of Washington   Central WA. Univ.   Eastern WA. Univ.    Evergreen St. College
We recommend that the student submit an admissions application to the college(s) of their choice.

In order to be considered for scholarships, you must complete a letter of recommendation outlining the student's community and academic achievements, academic abilities, educational goals, extra curricular activities, employment, family obligations and other qualities which distinguish the student.

Use the text box below to complete your letter of recommendation. Your letter may be typed in Word, copied, then pasted into the text box below. Recommendation letters must be a minimum of 250 words.

What is the student's major interest?
Allied Health Automotive Tech. Early Childhood Education  Engineering Human Services

Medical Assistant Nursing Science  Radio/Media Welding

Other: 

Nominator Information

First Name:     Last Name: 

Organization:    Title: 

Address: 

City:     State:     Zip Code: 

Phone No:     email: 

   

If you have any questions about the nomination form or process,
please contact Anita Ordonez, at: 360.416.7786.

THANK YOU!