ACSI's Distinguished Christian High School Student Award

Please fill out this form for the student you are nominating for the DCHSS Award for the 2019-2020 school year.

(Note: a separate form is required for each student.)

Please complete this form no later than Friday, January 31, 2020.

Nominations received after January 31, 2020 will not be considered.

Any questions should be directed to dchss@acsi.org.

 
School Name*
 
 
 
ACSI Member Number*
 
 
 
Student's First Name*
 
 
Student's Last Name*
 
 
 
Student's Grade
 
 
 
 
Mailing Address (to be used for Colleges & Universities*
 
School
Student's Home
 
 
 
Mailing Address
 
 
Address Line 1*
 
 
 
Address Line 2
 
 
 
City*
 
 
State/Province
 
 
 
Zip/Postal*
 
 
 
 
Country*
 
 
 
Qualifying Areas - Please select each category (or categories) for which the student is being nominated
 
Academics
 
 
 
 
Leadership
 
 
 
 
Fine Arts
 
 
 
 
Athletics
 
 
 
 
Christian Service
 
 
 
 
School Representative's Name (certificates sent to this info)
 
 
First Name*
 
 
Last Name*
 
 
 
School Representative's Email*
 
 
 
Please double check the spelling of names and make sure all other information is correct before you click Submit Form
 
Thank you for your nomination!