MPA Scholar-Athlete Nomination

MPA Scholar-Athlete Program

Presented by the Maine Army National Guard
The criteria to nominate a deserving MPA student-athlete are the following:
- Open to juniors and seniors in high school
- Current GPA of 3.0 or higher
- Must play at least one JV or Varsity sport
Please fill out the form with the nominee's information, unless otherwise stated.
- All nominees who meet the above requirements will receive a certificate from the MPA by March 15, 2024.
- Fifty nominees will be selected to win a $10 gift card from Aroma Joe's, too.
Nominator Name (Your Name) *

PrefixFirst NameLast Name
Nominator Email (Your Email)
example@example.com
Your Relationship to the Nominee
Name of Nominee

First NameLast Name
Nominee Phone Number*
Please enter a valid phone number.
Nominee Email*
example@example.com
Nominee Date of Birth*
Please list as: xx/xx/xxxx
Nominee Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
What school do they attend?*
What sport(s) do they play?*
Is their GPA a 3.0 or higher?*

YesNo
Do you wish to Opt-in to being contacted by sponsor?*

YesNo
Thank you for nominating the student-athlete above for this recognition.

All nominees who meet the above requirements will receive a certificate from the MPA by March 15, 2024.

Fifty nominees will be selected to win a $10 gift card from Aroma Joe's, too.
Should be Empty:

MPA Scholar-Athlete Program