American Legion Boys State of Kansas Nomination Form
Please complete by March 1, 2011 to nominate a current Junior for the upcoming session (June 5-11, 2011).
Of course, the student can just sign up at school as well. This form helps us identify students who would enjoy and do well with the program but might slip through the cracks of other application/nomination methods.
Requirements: Must be a junior male in high school in the top half of the class and
be involved in extracurricular activities in the school and community.
* Denotes a required field
    ver 2.0.11
First Name *
Last Name *
Mailing Address *
(very important for reliable delivery)
City *
State *
Zip *
Their e-mail address
Their primary Phone
(A/C)+###-####
Their High School *
In the 2010-2011 school year, this nominee will be .... *
Your Name *
Your email or phone number, if we have questions.

Thank you for taking the time to complete this form!

This form supported by www.oltec.net

[ www.kansasboysstate.org ]