Student Nomination Form

Attention High School Principals, Teachers, Guidance Counselors and Community Leaders:

Student participation Service Learning in Public Policy is based on a nomination process. You are invited to nominate students who meet the following criteria:

• 9^th, 10^th, and 11^th grade students
• Demonstrated leadership potential
• Interest in community service
• High academic standing (minimum 3.5 weighted GPA)

 

Teacher/Administrator Information

Teacher/Administrator Name

E-Mail Address

School

Address

City

State
Alabama Alaska Arizona Arkansas California Colorado Connecticut D.C. Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Zip Code

School Phone

Student Nominations (there is no limit for students that meet above eligibility requirements)

Student #1

Student Name

Grade

Address

City

State
Alabama Alaska Arizona Arkansas California Colorado Connecticut D.C. Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Zip Code

Student #2

Student Name

Grade

Address

City

State
Alabama Alaska Arizona Arkansas California Colorado Connecticut D.C. Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Zip Code

Click Here to add room for more student nominations

If student address is unavailable, their nomination materials and correspondence will be mailed to his/her school.

Learn more:

To download the program brochure, click here

For the Environmental Policy track, click here

For the Legal Policy track, click here

For the Public Health Policy track, click here

For the College Application Success Strategies track, click here

For the program schedule, click here

For teachers/educators wishing to nominate students, click here for the online Student Nomination Form

For students/parents seeking to register, click here for the online Student Reservation Form

To contact the Freedoms Foundation Education Department:

(610) 933-8825 ext. 292 or e-mail: education@ffvf.org