Family of the Year Nomination

The Family of the Year will be announced on Family Weekend, during 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:

Parent(s)/Guardian(s) Name:

Parent(s)/Guardian(s) Address:

City:

State:

Zip Code:

Phone:

Student GPA (4 points)

Credit Hours Completed (6 points)

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):

Off-Campus Activities (3 points):

Off-Campus Leadership (3 points):

Off-Campus Volunteerism (2 points):

Off-Campus Honors & Awards (2 points):

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

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):

Are your family members active in a Northwest Alumni Chapter? If so, please list the chapters. (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):