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Young Presbyterian Scholars Program Nomination Form

You may nominate a student by completing the form below or you may download the form in PDF format to print and mail or fax in.


Student Information


Church Information


Nominator Information


Please tell us more about how the student you are nominating has been involved in your congregation, community and school.
(The nomination box below is not limited. It will expand to fit the text entered.)


Please click "I'm not a robot," then enter the text in the popup box, if displayed.