In addition to our “All Tournament Team” we will also be recognizing ten competitors who have excelled, at not only wrestling, but also in academics, community and family involvement, and civic achievements. This “Scholar/Athlete” will be recognized during the tournament based on nominations by coaches, parents, wrestlers, and the media.

Feel free to use this form or any convenient format to answer the questions listed below. Coaches, parents, teachers, Athletic Directors, School Counselors, and the athletes themselves can nominate wrestlers for this award. Nominations can be sent via e-mail to: TheClash@ClashMN.com or via postal mail to: Dr Bonita Patton, 2534 Salem Road SW, Rochester, MN 55902, or faxed to 801-998-3185 by December 15, 2008.

Name: _____________________________________________________ Date of Birth _____________

Address: ____________________________________________________ Phone #: ________________

City/State/Zip: _______________________________________________________________________

Current Grade Level: ____________________________ GPA (out of 4.0) ______________________

High School Wrestling Team: __________________________________ 2007-2008 Record: ________

1. Wrestling Accomplishments: (overall records, tournament finishes, freestyle and Greco results, etc). Be sure to include coaching and volunteer activities along with personal wrestling achievements.

2. School Activities: (clubs, student government, music, etc.) Include the name of the activity and his/her role in the activity.

3. Community and Volunteer Involvement: (non-profit groups, 4-H, Scouts, church) Include the name of the organization and his/her role in it and any accomplishments achieved within that organization.

4. Work Experience: Describe any jobs (part-time, full-time, paid, volunteer) held by the nominee, that you feel are relevant to this application (care for the elderly, baby-sitting, etc).

5. Other Relevant Information: Use this space to include any other information that you feel may be relevant to this application. Consider including any activities that you believe have 1) led to a more well-rounded individual, 2) served school, community, church, or family, 3) broadened his/her view of the world, 4) shown a willingness to lead, or 5) demonstrated a willingness to mentor others.

Signature: ___________________________________________________________________________