Stephen Joel Trachtenberg Scholars Nomination Form

Thank you for supporting GW's SJT Scholars. Students must apply to GW by January 5, and nominations are due January 10.

Counselor Information (Nominator)

First Name

Last Name

Title

School Name

School Code - Hidden

Type of school

Private

Public

Parochial

Charter

At what time does your school open?

At what time does your school close?

Email Address

Phone Number

Student Information (Nominee)

First Name

Last Name

Birthdate

Email Address Used to Apply

Are they a DC resident?

Yes

No

In which DC Ward does the student reside?

School Name

School Code - Hidden

In which DC Ward does the student attend school?

If your student is selected as an SJT Scholar, how would they prefer to be notified?

Publicly (At School) With Media Present

Publicly (At School) Without Media Present

Privately

Tell us why this student is a good candidate for the Stephen Joel Trachtenberg Scholarship. Provide an example of when the student displayed commitment to academic excellence, community involvement, or leadership.

Brand

Stephen Joel Trachtenberg Scholars Nomination Form