2018 NOMINATION FORM

Nativity Council of Catholic Women

SPIRIT OF MARY AWARD

Honoring Outstanding Young Women of Faith, Character, and Service to Others

Please complete and submit your application by Wednesday, April 18th 2018.

Name of Nominee

First NameMiddle NameLast Name

Person Nominating and Phone number

First NameLast Name

Area CodePhone Number

Relationship to Nominee

Current School (Nominee must be in 12th Grade)

Nominee’s Address

Nominee's Phone Number

Area CodePhone Number

Nominee's Cell Number

Area CodePhone Number

Nominee's E-mail

Please do not mention nominee or their school by name beyond this point

Nominee’s Academic Performance (e.g., AP Calculus)

Scholastic Honors (e.g., Honor Roll - 3 years)

Extra-curricular Activities (e.g., Spanish Club - 3 years)

Honors or Recognition Given (e.g., Sport of the Month, October 2013)

Athletics (e.g., JV soccer - 2 years)

Hobbies/Interests (e.g., horseback riding)

Work Experience (e.g., Waitress at Shamrock’s 3 nights/week)

Nominee’s Volunteerism (e.g., community charities, assisting the elderly or young, support of the disabled, or other charitable acts)

Please describe anything else which might differentiate the nominee from the pool of applicants, specifically highlighting the ways this young woman exemplifies the Spirit of Mary (Humility, Gentleness, Service, Faith, Kindness)