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Name of Nominee: School Name: City:

2017 Florida Dairy Farmers Academic All-State Team Girls Nomination Form

1) General Information

Student’s Name: Common Name: Student’s Home Mailing Address: Home Phone: ( ) City: State: Zip Code: Student’s Parent(s) or Legal Guardians: School Name: School Phone: ( ) School Mailing Address: School Fax: ( ) City: State: Zip Code: Student’s College of Choice: Accepted? City, State in Which College of Choice is Located: Student’s Planned Course of Study in College (e.g., engineering, pre-medicine, etc.):

2) Verification by Principal, Athletic Director

We, the principal and athletic director of the above named high school, certify the eligibility of this student for nomination to the FHSAA Academic All-State Team based on senior status, at least a 3.5 GPA on an unweighted 4.0 scale, and sports participation record. We further verify that we have reviewed this completed nomination form and that the information provided herein is accurate to the best of our knowledge. We also recommend this student based on the character, sportsmanship and citizenship this student has shown at this high school and in the community.

Name of Principal: ______Name of Athletic Director: ______

______/ ______/ ______Signature of Principal Date Signature of Athletic Director Date

3) Academic Information (must be completed by principal or authorized administrator)

Grade Point Average. The Student’s Cumulative Grade Point Average is the combined average of the student’s grades (e.g., A equals 4.0, B equals 3.0, C equals 2.0, D equals 1.0, F equals 0.0) based on a four-point scale through the end of the first semester of the 12th grade. Compute the grade point average to three (3) decimal places. DO NOT USE WEIGHTED VALUES. The submission of a grade point average higher than 4.0 reflects weighted courses and will result in the disqualification of this nomination.

This Student’s Cumulative Grade Point Average through the end of the on a 4.0 scale. first semester of the 12th grade is 0.00 Name of Nominee: School Name: City:

2017 Florida Dairy Farmers Academic All-State Team – Girls Nomination Form

3) Academic Information (cont’d) (must be completed by principal or authorized administrator)

This Student’s Course of Study could be best described as (mark the box with an “X” to the left of selection): College Prep General Education Vocational

Class Rank: This student is ranked # 0 in a senior class of 0 students. Student’s ACT Score: Student’s SAT Score:

Special Recognition. Please list special academic related honors received by the nominee. When listing awards and honors, list the most significant ones only. You are limited to this form. You may not alter this form or attach additional pages to this form!

4) Athletic Participation

List all FHSAA sanctioned or recognized sports in which the student has earned a varsity letter during the student’s high school career. Note that spirit cheerleading currently is not an FHSAA sponsored sport (competitive cheerleading is acceptable). Indicate each year a varsity letter was earned in each sport by placing an “X” in the appropriate space. In addition, if the student is participating in an FHSAA spring sport during the current spring season, please include the spring sport on this record. Check each grade in which the student earned a varsity letter Sport 9th Grade 10th Grade 11th Grade 12th Grade

Awards, Honors and Comments. List athletic related awards and honors received by the nominee and applicable comments. When listing awards and honors, list the most significant ones only. You are limited to this form. You may not alter this form or attach additional pages to this form! Name of Nominee: School Name: City:

2017 Florida Dairy Farmers Academic All-State Team – Girls Nomination Form

5) Student Government

List the student’s most significant participation in student government. This includes participation in the Student Council as an officer or representative, and/or holding an office within the student’s class itself (e.g., junior class president, senior class treasurer, etc.). Do not list clubs, etc., in this section. Such activities are to be listed in Section 6. Check each grade in which the student participated in the activity Student Government Activity 9th Grade 10th Grade 11th Grade 12th Grade

Awards, Honors and Comments. List student government related awards and honors received by the nominee and applicable comments. When listing awards and honors, list the most significant ones only. You are limited to this form. You may not alter this form or attach additional pages to this form!

6) Music, Drama & Other Non-Classroom School Activities

List the student’s most significant participation in music (e.g., band, chorus), drama and other non-classroom school activities. Non-classroom school activities are defined as school activities in which the student is involved after the school day is over. Do not list participation in activities if they are requirements for a class. This includes participation in clubs and organizations such as Science Club, Future Farmers of America, etc. Check each grade in which the student participated in the activity Non-Classroom School Activity 9th Grade 10th Grade 11th Grade 12th Grade

Awards, Honors and Comments. List activity related awards and honors received by the nominee and applicable comments. List offices or positions held (e.g., Latin Club vice president, National Honor Society treasurer, etc.). When listing awards and honors, list the most significant ones only. You are limited to this form. You may not alter this form or attach additional pages to this form! Name of Nominee: School Name: City:

2017 Florida Dairy Farmers Academic All-State Team – Girls Nomination Form

7) Community Activities

List the student’s most significant participation in community activities such as civic clubs and volunteer organizations. List only those programs in which the student participates on a sustained basis. By grade, list the number of hours in which the student participated in the activity Community Activity 9th Grade 10th Grade 11th Grade 12th Grade

8) Employment

If the student holds a job during the school year while participating in interscholastic athletics or works in an area related to their athletic participation or career goals, please provide this information for the selection committee.

Dates of Employment Employer Position To From Comments 9) Student Essay

I, the student nominee, certify that the essay is wholly my own creative work. It represents my thoughts and ideas and no one else’s.

Student Name: ______Student’s Signature: ______/ Date: ______

In 250 words or fewer, the student must submit a typed space-and-a-half or double-spaced essay on the following topic:

You’ve got a ticket in your hand – Where will you go? What will you do? What will happen when you get there?