STUDENT NOMINATION FORM

HEAF Nomination

Thank you for your interest in nominating students for the Harlem Educational Activities Fund. Our admissions process relies on educators, school administrators, guidance counselors and community leaders to help identify potential scholars. We extend our deepest gratitude for your continued support and collaboration.

(Nominate as many individuals as you feel are deserving. Submit additional nomination forms, if necessary)

This nomination is for School Partners, Teachers, and Counselors. If you are an Individual, Student or Family please click here for the Application

Your Information

First Name

Last Name

If applicable, your school name.

If applicable, your organization name.

Title

Work email

Personal email

Preferred email:

PersonalWork

NOMINATION

Student Name

First Name

Middle Name

Last Name

Parent/Legal Guardian Information

Parent/Legal Guardian's First Name

Parent/Guardian's Last Name

Parent/Guardian's Phone Number

Parent/Guardian's Email

Student School Information

Name of Student's School

Student's current grade

Student's most recent GPA

Let us know why you are nominating this student for HEAF.

To nominate another student, click the link above that says

"Nominate Another Student".

To submit all nominations, click the Submit button below.

Contact Information