Annual Scholarship Nomination
Celebrate and uplift the next generation! Nominate a deserving student or emerging leader for the Shirley’s Higher Learning Scholarship. Tell us about the nominee, your relationship, and their accomplishments, and include any supporting documents—and an optional short video message—to help us understand their story. After you submit this nomination, the nominee will receive a link to complete their personal application, giving them the opportunity to share their goals, dreams, and journey in their own words. This scholarship honors individuals who embody our mission to motivate, cultivate, elevate and celebrate extraordinary individuals and businesses in and around Tampa Bay and beyond, and it is our privilege to support them as they pursue their dreams.
Nominator Name
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Nominator Email Address
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example@example.com
Nominator Phone Number
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Please enter a valid phone number.
Format: (000) 000-0000.
Relationship to Nominee
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Please Select
Family Member
Spouse
Friend
Colleague
Teacher/Professor
Employer
Business Partner
Pastor/Mentor/Sponsor
How Long Have You Known the Nominee?
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Nominee Name
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Nominee Email Address
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example@example.com
Nominee Phone Number
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Please enter a valid phone number.
Format: (000) 000-0000.
Nominee School or Program
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If this does not apply, please type N/A
Scholarship Category
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Please Select
Integrity & Character
Academic Excellence
Ingenuity & Entrepreneurship
Community Engagement
Why is this nominee exceptional?
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What are their greatest strengths and leadership qualities?
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Notable accomplishments or community contributions?
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Supporting Documents/Video Upload
Upload a File
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Choose a file
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of
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I confirm the information provided is accurate.
Digital Signature
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First Name
Last Name
Submit Nomination
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