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Major of the Year Application Form
Section 1: Nominator/Advisor Information
First Name*:
Last Name*:
Affiliation:
Address:
City:
State:
--Select--
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Other
Zip Code:
Work phone*:
Email*:
Section 2: Student Nominee Information
First Name*:
Last Name*:
College/ University*:
Address*:
City*:
State*:
Zip Code*:
Phone:
Email*:
Member #:
Student must be a SHAPE America member. Nominees who are not yet members may still be nominated as long as membership form is submitted within one month of nomination.
Section 3: Degree of the Student
Degree:
Adapted Physical Education
Athletic Training
Exercise Science
Fitness/Wellness
Health Education
Kinesiology
Physical Education
Sport Coaching
Sport Management
Other
Other:
Please specify
Section 4: Year in School
Year in School:
Junior
Senior
Section 5: Service Projects
Projects:
Please list at least 3 contributions to school or community:
Annual Conference
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