Memorial Foundation’s Scholar Athlete of the Month Application

Complete the form below to submit your nominee for Scholar Athlete of the Month.

Winners will be eligible for one of two $1,500 scholarships at the end of the 2018-2019 school year!

Student nominee must be a senior in the 2018-2019 school year.

Student Information

Please provide detailed descriptions of athlete’s accomplishments in each of these areas.

Nominator Information

Student Essay

Please include a brief essay regarding college plans and career aspirations. If you are nominating a student and they are not with you to fill out the essay, they can email their essay to

Student Photograph

Photo Submission: Please email a high-quality digital photo of the athlete to Please include in the file name the athlete's name and school.

Consent to Use Photograph: As a potential winner, I grant my permission to use my photograph for publicity (web, newspapers, social media, and publications announcing winners).

*As an email nomination, your typed name indicates permission.