Outer Coast Nomination Form

Please use this form to nominate any student who you think would be a good fit for an Outer Coast program, this year or in future years. Nominating a student puts them in touch with the Outer Coast team to provide them with more details about our upcoming programming. You may nominate multiple students. Please submit one form per student. Please note that nominations do not affect a student’s chances of being admitted to the program and that students do not need to be nominated in order to apply to the program. You can find more about our upcoming programs at outercoast.org. If you have questions, please contact reyn@outercoast.org.

Date of nomination

Which program are you nominating this student for?

Student First Name

Student Last Name

Student Preferred First Name

Student Email

(personal email preferred)

Student Phone Number

(if you feel comfortable sharing)

Student's Anticipated High School Graduation Year

Student's High School

Student's Hometown

(city, state, country)

Your Full Name

Your Email

What is your relationship to this student?

How long have you known this student?

Anything else you would like us to know?

Can we send you any physical recruitment materials (brochures, flyers, etc.) to spread in your school and/or community?

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