HISPANIC STUDENT RECOGNITION PROGRAM Nominations Due by February 4, 2008 INSTRUCTIONS FOR NOMINATORS Please complete the application below and submit a narrative telling us about your nominee and why he/she should receive an award. Be as specific as possible providing actual examples of student’s academic achievements, extracurricular activities, personnel qualities and character, creativity or talent, demonstrated leadership abilities and personal barriers overcome by the student. Please type your essay and attach to the application. You can also handwrite the essay on the back of this sheet. Attach documentation including transcripts (i.e. SAT, PSAT and SAT2) and awards to this application. Write candidate’s name on each page. ALL APPLICATIONS WILL BE SHREDDED AT END OF SELECTION PROCESS. HOWEVER, ALL OF THE STUDENTS’ DEMOGRAPHICS WILL BE SAVED BY THE LACC. THIS WILL ENABLE US TO UPDATE THE STUDENTS’ INFORMATION ON A YEARLY BASIS AND FOLLOW-UP WITH SCHOLARSHIP OPPORTUNITIES. #1 Student Information: Name of Nominee: ___________________________________ Date of birth: _______________________ Address: _____________________________________________ Phone: ______________________________ ______________________________________________________ Grade: ______________________________ School: ______________________________________________ Student ethnicity: ___________________________________ Nominated by: _______________________________________ Title: _______________________________ Title: ________________________________________________ Phone: _____________________________ Agency/Org/Corp: ___________________________________ Email: ______________________________ Address: _____________________________________________ ______________________________________________________ HISPANIC STUDENT RECOGNITION PROGRAM Nominations Due by February 4, 2008 #2 Categories Please mark one or more categories for which nomination is made: Academics ˜ Athletics ˜ Arts (Instrumental, Voice, Visual Arts, Theater) ˜ School/Community Service/Volunteerism ˜ Science and/or Technology ˜ Hispanic Student of the Year (High School) ˜ Hispanic Student of the Year (Middle School) ˜ #3 References Please list two additional references for your nominee if possible Name: _______________________________________________________________ Address: _____________________________________________________________ Phone: ______________________________________________________________ Email: _______________________________________________________________ Name: _______________________________________________________________ Address: _____________________________________________________________ Phone: _______________________________________________________________ Email: _______________________________________________________________ PLEASE RETURN THE COMPLETED APPLICATION WITH TRANSCRIPTS & NARRATIVE TO: LATIN AMERICAN COMMUNITY CENTER, INC. - H.S.R.P 403. NORTH VAN BUREN STREET WILMINGTON, DE 19805 TELEPHONE: 655-7338 FACSIMILE: 655-7334