Sullivan Nomination Form

Nomination Form

Nominator Information

Use this section to input the name, title, and email address of the person nominating the student.

Student Information

***Please verify the student's email address. When the student receives 2 nominations, this email address will be used to notify the student to go to the website and complete an application form and essay.

Nomination Information

Based on your knowledge of the student you are nominating, please rate the student’s potential to be successful in college and pursue a career in teaching by clicking the checkbox in the column that best describes your assessment of the student.

1Academic Ability
2Persistence when confronted with obstacles
3Motivation to achieve
4Potential to be an excellent teacher
5Need for financial assistance to attend college
Briefly describe why you think this student deserves to be chosen for this scholarship opportunity.