The Nancy Julian Distinguished Young Woman Award
Congratulations, we commend you on your excellence in the Calhoun County area. As a high school
senior who has excelled in education, extracurricular activities and volunteerism, you have been
nominated for the Nancy Julian Distinguished Young Woman Award.
Please complete Sections A and B of this form. Your answers to questions 1-10 should be attached to
this form and please remember to number your answers (i.e., 1 for question 1, 2 for question 2, etc.)
Put your name and home telephone number at the top of each page you attach to this form. Keep all
answers concise and to the point.
Please return completed packages to: Junior League of Anniston-Calhoun, AL
ATTN: Kristan Bentley
Post Office Box 2557
Anniston, Alabama 36202
*Applications postmarked after Thursday, March 15, 2012, will not be accepted.
A.
Name:
_________________________________________
Address: _________________________________________
Telephone: _________________________________________
School Name: _______________________________________
GPA: _______ Scale: __________ (Example: 3.5 on a 4.0 scale)
Question 1:
Question 2:
Question 3:
Question 4:
List all school groups/organizations with which you are affiliated.
List any volunteer services in the community & briefly highlight what you do.
(Optional) List Church/Religious affiliations and any activities associated with them.
List achievements, honors, scholarships, awards, etc., through school or other
affiliations; Include dates and descriptions, if applicable.
Question 5: List any additional contributions you have made for the betterment of your school
and/or the community of Calhoun County through special events, etc.
Question 6: List hobbies, special interests, traits, family, etc.
Question 7: Describe your future ambitions, including job or career goals.
Question 8: Please list one reference (include name, business/home address and telephone number).
Question 9: How would you communicate to the public/community the importance of being
recognized as a Distinguished Young Woman of Excellence, and your thoughts on how
it feels to be a nominee?
Question 10: Do you have any additional comments you would like to share with us?
B.
May we use some of the information you have provided on these forms during your
introduction at the Junior League meeting, if you are selected? Yes____ No____
Congratulations and thank you for taking the time to complete this application. The Junior League of
Anniston- Calhoun, Inc. is pleased to recognize you and other young women throughout Calhoun
County who have enriched our schools and community.