Civic Leader Student Award Application 2026
Complete this multi-page application and upload your required artifacts using a shareable folder link.
Applicant Information
Student Name
*
First Name
Last Name
School District
*
Please Select
Carson City School District
Churchill County School District
Clark County School District
Douglas County School District
Elko County School District
Esmeralda County School District
Eureka County School District
Humboldt County School District
Lander County School District
Lincoln County School District
Lyon County School District
Mineral County School District
Nye County School District
Pershing County School District
Storey County School District
Washoe County School District
White Pine County School District
State Charter School Authority
Private School
Other
School
*
Anticipated Graduation Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Email, non-school
*
example@example.com
Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Mailing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Post-secondary plans
*
Please Select
College or university
Community college
Trade or technical school
Military
Workforce
Undecided
Other
Artifacts Folder Link
*
Eligibility Verification
Check each box to confirm the item is complete and the documentation is in your artifacts folder.
I confirm that my artifacts folder contains:
*
Transcript showing at least 3 completed social studies credits (folder 1)
Transcript showing a GPA of 3.25 or higher on a 4.0 scale, or 3.85 weighted on an approved alternate scale (folder 1)
Nevada Civics Exam results showing 90% or higher (folder 2)
Certification from a counselor or administrator that I averaged a score of 3 across classes on the Citizenship Rubric (folder 3)
Certifying counselor or administrator name
*
Certifying counselor or administrator email
*
example@example.com
Certifying counselor or administrator title
*
Letters of Support
Administrator recommender name and title
*
Teacher recommender name and subject taught
*
Both letters are uploaded to folder 4 of my artifacts folder
*
Yes
Service Learning Project
Project title
*
Was this an independent project or a class project?
*
Independent
Class project
Community need your project addressed
*
Your role in the project
*
What changed for the community as a result?
*
Who did you present your portfolio to?
*
My school or class
A community organization
Elected or government officials
Families
Other
School designee who signed off on the project checklist
*
The signed Service Learning Project checklist and supporting documentation are in folder 5
*
Confirmed
Civic Leadership Evidence
What types of evidence are in folder 6?
*
Media coverage
Event flyers
Student-created materials
Awards or recognition
Testimonials
Other
Briefly describe the evidence
*
Student Reflection
What role has civics played in your life?
*
How have you demonstrated civic leadership?
*
How do you plan to continue your civic engagement after high school?
*
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