Nominator Information

Your First Name (Nominator)*

Your Last Name (Nominator)*

Relationship to Student-Athlete Being Nominated*

Please Specify Your relationship to Nominee*

School Position/Title*

Your Email*

Your Cell Phone*

Will be used for direct contact in the case of nomination being selected for Top 10 Finalists

I would like to be notified when additional free offers, contests, incentives, and programs become available to my school.

NOMINATED HIGH SCHOOL STUDENT INFORMATION

The high school student you are nominating must be a basketball player to be eligible.

Student-Athlete First Name*

Student-Athlete Last Name*

Student-Athlete's School*

School Address - Street Address*

School Address - City*

School Address - State*

School Address - Zip Code*

Which gender does this student most closely identify with?*

Nomination Questions

Describe why this student-athlete deserves to win the Jersey Mike's Naismith Courage Award. (Use specific examples)*

Maximum 4,000 characters.

Share where you heard about the Jersey Mike's Naismith High School Basketball Courage Award

If helpful, share any supporting files or additional information

You may upload up to 3 supporting files to accompany your nomination. Files may include photos, documents, or other relevant materials. Maximum file size: 4 MB per file.

Upload Supporting Files

(OPTIONAL) Give a Recognition Gift to Your Nominated Athlete

We want to ship nominators a gift to share with their nominated athlete. To receive a gift sent to the nominator's address as a way to further recognize your nominated student, please share the nominator's address below.

Street Address

Address Line 2 (Apartment, Suite, etc.)

City

State

ZIP Code

By entering, I represent that all Nominator information is accurate, that the nominator is 18+ years old, and agrees to be bound to the Official Rules and decisions of the Sponsor and Administrator.