THE 2023 LCTSF SCHOLARSHIP NOMINATION FORM:

Nominator's Name *

First

Last

Nominator's Email *

Nominator's Phone Number *

Nominator's Relation to Nominee *

Nominee's Name *

First

Last

Nominee's Preferred Pronouns

Nominee's Email *

Nominee's Phone Number *

Nominee's Intended Major or Area of Training *

Name of College, University, or other Post-High School Education/Training Institution (Intended or Currently Attending) *

BACKGROUND (25 points): Please describe ways in which the nominee has proved to be an exceptional talent with regard to academics, community involvement, and extracurricular activities.

LEADERSHIP (20 points): Please describe how the nominee has demonstrated leadership and influence in their family, school, and community.

KEY PROJECTS (20 points): Please describe any projects that demonstrate the nominee's determination to succeed and/or be of service to their family and community.

OVERCOMING CHALLENGES (20 points): Please describe how the nominee has worked to overcome difficulties. (Indicate a specific situation and describe how the nominee has worked to overcome the difficulties of the situation.)

SCHOLARSHIP IMPACT (15 points): Exact scholarship amounts have not been determined, but one of the scholarships will be at least $1000.00. How would such a scholarship affect the nominee's life?

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