Family of the Year Nomination

The Family of the Year will be announced on Family Weekend, during pregame at the Bearcat football game. The family must be present to accept the award.
Only one application per student will be accepted.

*All fields required*

Student Information

Student's Name:

Student's Email:

Student Permanent Address:

City:

State:

ZIP Code:

Cell Phone:

Best time to call:

Hometown:

High School:

Family Information

Parent(s)/Guardian(s) Name:

Parent(s)/Guardian(s) Address:

City:

State:

ZIP Code:

Phone:

Student Level of Academic Success (10 points possible)

Student GPA (4 points)

Credit Hours Completed (6 points)

Student Involvement / ON-CAMPUS (10 points possible)

On-Campus Activities (3 points):

On-Campus Leadership (2 points):

On-Campus Employment (1 points):

On-Campus Volunteerism (2 points):

On-Campus Honors & Awards (2 points):

Student Involvement / OFF-CAMPUS (10 points possible)

Off-Campus Activities (3 points):

Off-Campus Leadership (3 points):

Off-Campus Volunteerism (2 points):

Off-Campus Honors & Awards (2 points):

Service to Northwest by Student's Family (20 Points Possible)

Family members’ name & age (Please specify family members who are enrolled at Northwest or are alumni of Northwest):

On-Campus Activities as a Northwest Student (10 points possible)

Northwest Activities as a student (3 points):

Northwest Leadership as a student (3 points):

Northwest Volunteerism as a student (2 points):

Northwest Honors & Awards as a student (2 points):

Current University Involvement (10 points possible)

Attend Northwest Alumni Association activities (2 points):

Active within a Northwest academic school or college (2 points):

Attends Northwest campus events (2 points):

Volunteerism on campus (2 points):

Donor to Northwest (2 points):