D.J.'s Hero Scholarships - Nominee Form
Please call (402) 898-7691 with any questions regarding the submission process.
Nominator Information
PLEASE NOTE: It is your responsibility to make sure your nominator completes their Nominator Form, which is separate from this form. (You can have multiple tabs open if you prefer to do this process together.) Your application will only be considered complete once both of the following have occurred: 1) the submission of your Nominee Form; and 2) your nominator's submission of their Nominator Form. Thank you.
Full Name
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First Name
Last Name
Nominators Name
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First Name
Last Name
Nominators's E-mail Address:
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This MUST be the same email on nominee's application
Nominee's Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Cell Phone
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-
Area Code
Phone Number
Primary email
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What high school do you attend?
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When is your graduation date?
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Please list colleges you have applied to or are planning to apply to.
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ACT and/or SAT scores
If you are planning on studying science, technology, engineering and/or math in college and wish to be considered for the Teresa Hunzeker Memorial Scholarship, please provide your ACT and/or SAT score. Please clearly mark each score as either an ACT score or an SAT score:
ACT and/or SAT score:
Nominee Statement
Please submit the nominee statement addressing the following three questions. (Please limit your answers to a maximum of 250 words per question.)
1. What are your short-term and long-term plans and goals?
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0/250
2. Describe your financial need and how being awarded a D.J.'s Hero Awards Scholarship will help you achieve your goals.
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0/250
3. Please summarize your work experience, leadership, and/or service to your community.
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0/250
Release Statement
In submitting this application, the nominee agrees that the information contained herein is accurate and truthful, and may be used for promotional purposes and in media. The Salvation Army will be sensitive to special considerations and will work with the nominee to accommodate reasonable privacy requests.
Signatures
Please use your mouse cursor to draw your signature in the fields below.
Nominee's Signature
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Nominee's Name:
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First Name
Last Name
Responsible Adult's Signature
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Responsible Adult's Name
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First Name
Last Name
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