Nomination Form


The Nominator

Thank you for your interest in Take 2. Please be sure to review all eligibility guidelines beneath this form before completing the application. Once you have confirmed that your nominee meets all of the requirements, please complete the form and provide a letter of recommendation via email, fax or mail to:

Take 2 Through College Scholarship Program
Regent University, Central Financial Aid
1000 Regent University Dr.
Virginia Beach, VA 23464
Email: faforms@regent.edu
Fax: 757.352.4118

Please submit your nomination by May 20, 2013.

Your Name:
Partnering Organization:
Position:
Address:
City:
State:
Zip Code:
Telephone:
Email Address:


The Nominee

First Name:
Middle Name:
Last Name:
Address:
City:
State:
Zip Code:
Telephone:
Email Address:
Race/Ethnicity:
Age:
Sex:
School currently attending:
Estimated Grade Point Average on a 4.0 scale:
If nominating for the School of Undergraduate Studies please indicate current year in school (high school senior or college freshman):

Evaluation of Nominee

Please use the chart below to evaluate the nominee.

Please rate each characteristic listed, using a scale of 0 to 10, with 10 being superior and 0 being poor.

  Poor Below Average Average Above Average Superior
  0 1 2 3 4 5 6 7 8 9 10
Spiritual Maturity
Leadership
Character
Initiative
Academic Skills
Discipline
Cooperation
Service
Overall Rating

Letter of Nomination

Please provide a statement of nomination (1,000 characters or less) in the box below. In the statement, please include the following:

  • A description of how long you have known the nominee and the nature of your relationship.
  • An assessment of the nominee's potential for developing into a servant leader; include a description of any leadership experience.
  • An assessment of the nominee's financial need (to the best of your knowledge).
Name: Date: 11/27/2014
 
 


Eligibility

  • Applicants must be residents of the United States and either high school seniors or college freshmen entering an undergraduate degree program at Regent or transferring to Regent University.
  • Applicants must have a minimum high school GPA of 2.5.
  • Priority is given to students who are the first in their family to attend college as evidenced from Take 2 application and data from the Free Application for Federal Student Aid (FAFSA).
  • Demonstrated financial need based on results of the FAFSA.
  • Demonstrated strength of character, academic promise, leadership potential and potential to contribute back to the community as evidenced in the Take 2 application.

A nomination is the first step in a two-part application process. To be considered for this program, a student must be nominated by a representative of a partnering church or organization who has substantive knowledge of the student's accomplishments and goals. Nominations should include the enclosed form and a letter of recommendation. After review of the nomination, eligible candidates will be sent an application form.

If you have any questions, contact the program director at marcmat@regent.edu or call 757.352.4760.



 

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