Information Form

Scholar-Athlete Information Form

Congratulations on being selected as the Scholar Athlete of the Year from your school. Please complete the form below and hit “submit”. The information will be used to introduce you during the press luncheon and given to the news media.

On the day of the event your picture will be taken by the press. The award's sponsor, Marc Gamberdella of the The Micheel – Gamberdella Group at Merrill Lynch, will interview you just before he presents you with your award which is usually at the beginning of the luncheon. Upon receipt, verbal acceptance by you is encouraged. We invite your parents to attend.
  • Parents

  • Athletic Background

  • Academic Background

  • Other School or Community Involvement

  • Miscellaneous

    Those attending with you.
  • I hereby agree to release to new media the information recorded on this form. (Enter your name.)