ACE Awards Form - California Nevada District

Accepting the Challenge of Excellence (ACE) Award
District Nomination Form

2024 - 2025

NOTE: This Electronic Form is for Exchange Clubs to submit their Local Club Winners Only.

Deadline for submission is April 15th

ONE APPLICATION PER FINALIST

Incomplete submissions will not be considered.

Submitters Name(Required)

Submitter's Email(Required)

Exchange Club Information

Exchange Club(Required)

Exchange Club President Name(Required)

Students Sponsor Information

Students Sponsor Name(Required)

Who is the Individual sponsoring this Student?

Students Sponsor Email(Required)

Email of the Individual Sponsoring this Student?

Students Sponsor Phone(Required)

Phone Number of the Individual Sponsoring this Student?

Students Sponsor Narrative(Required)

The Students Sponsor is responsible for providing a narrative describing in their own words, the problem(s) that the student has faced and how they overcame them; including implications for the future. (3000 Characters or 500 words maximum)

Student Information

Student Name(Required)

Student Address(Required)

Student Email Address(Required)

Student Cell Phone(Required)

Student Date of Birth(Required)

Date of Graduation(Required)

Student High-resolution (150 dpi minimum) digital photo

Max. file size: 10 MB.

Parents or Guardian Information

Parents or Guardian Name(Required)

Parent or Guardian Email(Required)

Parents or Guardian Phone(Required)

High School / Counselor Official Information

Please provide the name of high school official that certified information on original application

Name of Students High School(Required)

Students High School: City & State(Required)

Students Counselor/Contact Person(Required)

Students Counselor/Contact Person Email(Required)

Students Counselor/Contact Person Phone Number(Required)

Narratives Student

Student Narrative A - (1500 Characters or 250 Words Maximum)(Required)

AS SUBMITTED BY THE STUDENT NOMINEE - Each student is responsible for providing a narrative describing in their own words, the event(s) in their life of which they are most proud. (1500 Characters or 250 words maximum)

Student Narrative B - (1,500 Characters or 250 Words Maximum)(Required)

AS SUBMITTED BY THE STUDENT NOMINEE - Each student is responsible for providing a narrative describing in their own words, their future plans for making their community and the world a better place to live. (1500 Characters or 250 words maximum)

Certification Submission

Application Certification

I certify that the information I am submitting regarding the above named student has been verified.

Yes

Travel Certification(Required)

I verify that if this nominee is designated a winner, they will be able to accept the award in person, during the scheduled event, and are available and willing to attend the Convention from Wednesday through Sunday.

Yes

Sponsoring Club Certification(Required)

If the student is designated a winner, the above named Exchange Club Sponsor from the will be responsible for the nominee’s attendance at Exchange’s District Convention.

Yes

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Name

This field is for validation purposes and should be left unchanged.

66993

Final Thoughts

District Scholarship winners must attend the award ceremony in person at the District Convention. To confirm the date and time before submitting your application, please contact Cynthia Strasmann at 949.351.7192.

The final scholarship recipient must provide a high-resolution digital photo (minimum 150 dpi). Note that photos submitted to The National Exchange Club will not be returned.

All further communication regarding this application will be directed to the Exchange Club member listed on the application, unless otherwise specified to The National Exchange Club.

By submitting this application, you confirm that all nominations and information provided are accurate and comply with the rules and regulations of The National Exchange Club.

Accepting the Challenge of Excellence (ACE) AwardDistrict Nomination Form