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CSTHEA Outstanding Student Nomination Form
DUE DATE February 9th, 2024
All graduates are welcome to submit their name to the committee for consideration.
A $250 "One Time" Scholarship Grant will be awarded to each of the two students selected.
Our selection for outstanding student is based on the following criteria:
• Participation in CSTHEA sponsored activities/groups
• Must take part in CSTHEA's graduation or a CSTHEA affiliated support group's graduation exercises
• Must be able to be present at Rally Day in Nashville
• Must be a member of THEA
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* Indicates required question
Student's Full Name
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Your answer
Parent's Names
*
Your answer
Address
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Your answer
Best Phone Number
*
Your answer
Secondary Number
Your answer
What Organization are you Registered with as a Homeschooler?
*
Your answer
Are you a member of a church?
*
Yes
No
Required
Please Describe Your Plans for the Future.
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Apprenticeship, Business, College, Technical School, Ministry, Military, etc.; Please be as specific & detailed as possible
Your answer
Please list all activities, awards, & honors, both CSTHEA sponsored and others.
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Your answer
If you are a church member, what is the name of your church?
Your answer
I certify that I am a current member of THEA, am registered to participate in CSTHEA's high school graduation ceremony and, if selected, will be present at the Tennessee Capitol in Nashville for THEA's Homeschool Rally Day Activities.
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If registered in a CSTHEA affiliated support group graduation, please answer the next question.
Yes
Required
If registered in a CSTHEA affiliated support group graduation, please give the group name , contact's name , and the contact's phone number.
Your answer
Student: Type your name and date as your signature.
*
Your answer
Parent: Type your name and date as your signature.
*
Your answer
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