2026-2027 Buffalo Prep Scholar Nomination Form

2026-2027 Buffalo Prep Scholar Nomination Form

Buffalo Prep promotes educational access and opportunity by delivering rigorous and enriching programming for students throughout Western New York. We strive to nurture our scholars’ brilliance while empowering them to engage civically as their authentic selves.
This nomination form can be completed by anyone who wishes to recommend a scholar for our programming. If you are interested in nominating a scholar, please complete the form below.

Our office will send the scholar and their family information about our programming and invite them to apply. If you have any questions, please contact Elizabeth Guzmán at (716) 829-2108 / eguzman@buffaloprep.org.
Scholar's first name:
Scholar's last name:
What grade is the scholar currently in?
What school does the scholar attend?
What is the scholar's primary address?

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Guardian name:

First NameLast Name
Parent/Guardian email:
Parent/Guardian phone number:
Please enter a valid phone number.Format: (000) 000-0000.
What is your name?
Name of the teacher or administrator filling out the form
What is your relationship to this scholar? (check all that apply)

Other
If you work for a school, please include the schools name below:
Work email:
Should be Empty: