EmailMe Form - GA Superintendents ROTC Scholarship Referral

Student's Name *

First Last

Student's Email *

Student's Phone *

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High School Attending *

Student's GPA *

SAT Math *

SAT Verbal *

ACT Composite *

List completed Honors, AP, and Dual Enrollment classes. (Include college GPA) Also include all honor societies and academic accolades. *

List sports participation to include varsity letters, city league or travel club team participation, and JROTC Raider teams. *

List leadership positions held such as student government, JROTC (any service), Eagle Scout, Gold Award, Boys/Girls State, or youth group leadership. *

List all other extracurricular activities. *

Georgia School Preferences: Choose two of the following institutions. *

First Choice
Second Choice

High School Counselor's Name *

First Last

High School Counselor's Email *

High School Counselor's Phone *

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High School *

Superintendent's Name *

First Last

School District *