Academic All American Award Application Form

NO COST TO APPLY! Eligible students will be recognized with an official letter to the principal and publication in Rostrum magazine.
Return completed form to National Speech & Debate Association, PO Box 38, Ripon, WI 54971-0038. To order OPTIONAL pins and certificates, see below.

Please PRINT or TYPE the formal name to be used for official recognition.
Student Name ______________________________________________________________________________________________________
Student Merit Number ___________________________________________________________ Grad Year ___________________________
School ____________________________________________________________________________________________________________
School Address _____________________________________________________________________________________________________
City, State, ZIP ______________________________________________________________________________________________________
Association District __________________________________________________________________________________________________
Chapter Advisors Email Address ________________________________________________________________________________________

Application Checklist

Certificate $10

The above named student qualifies for the Academic All American Award by meeting
ALL of the criteria checked below. (Each box must be checked for verification.)
o

Degree of Superior Distinction on record (750 points)

GPA of 3.7 on a 4.0 scale (or its equivalent)

School transcripts with GPA must be included

ACT score of 27 or higher, or SAT combined score of 2000 or higher

Completed at least 5 semesters of high school

Character reference from the students coach (chapter advisor)

Pin $13

Chapters may present an Academic All American Award to any member student who meets the
above criteria. By signing below, you certify that the above/enclosed information is true and
accurate, and that the student nominated, in addition to the above criteria, has demonstrated
character, leadership, and commitment.
_____________________________________________
Chapter Advisors Signature

_____________________________________________
Chapter Advisors Name (PRINT or TYPE)

_____________________________________________
Principals Signature

_____________________________________________
Principals Name (PRINT or TYPE)

_____________________________________________
Students Signature

_____________________________________________
Students Name (PRINT or TYPE)

Achievement Honors (OPTIONAL)

elegant gold plated pin with

alternating blue and gold stripes

I have enclosed payment for the following:

QTY
____ $10 Certificate of Achievement
____ $13 Academic All American Pin

Complement your students achievement with the

Academic All American Pin and Certificate!

Total Enclosed $ ______________________

updated 08/13/14