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Family of the Year Nomination

  • The Family of the Year will be announced on Saturday, September 15, 2018, during pregame at the football game against Missouri Southern. The family must be present to accept the award.

  • Only one application per student will be accepted.

  • Application deadline is Friday, Sept. 7, 2018 at 5 p.m.

Student Information
Student's Name:
Student's Email:
Student Permanent Address:
City:
State:
ZIP Code:
Cell Phone:
Best Time(s) to Contact You:
 Hometown:
High School:
Northwest Cumulative GPA:
# of Northwest Hours Completed:
Family Information
Parent(s)/Guardian(s) Name:
Parent(s)/Guardian(s) Address:
City:
State:
ZIP Code:
Phone:

Give names and ages for siblings in the family. Please indicate if any are attending or have attended Northwest.

 

Student Involvement / ON-CAMPUS
On-Campus Activities:
On-Campus Leadership:
On-Campus Employment:
On-Campus Volunteerism:
On-Campus Honors & Awards:
Student Involvement / OFF-CAMPUS
Off-Campus Activities:
Off-Campus Leadership:
Off-Campus Employment:
Off-Campus Volunteerism:
Off-Campus Honors & Awards:
Family's Service to Northwest
Northwest Activities:
Northwest Leadership:
Northwest Employment:
Northwest Volunteerism:
Northwest Honors & Awards: