Student Athlete of the Week Nomination Form

Submit your nomination for Student Athlete of the Week, student MUST be a senior participating in a varsity sport with a minimum GPA of 3.0.
If you have questions, please send an email to Bergen Hanson at bhanson@cbs19news.com. He can be reached directly at (434) 220-7529.

Submitters Information

First Name

Last Name

Your Email

Your Phone #

Your Relationship to the Student

Students Information

Student's First Name

Student's Last Name

Student's current Grade Point Average

Is the Student a senior?

School Name

Athletic Director's Name

Academics: Please describe in detail class rank, academic awards or accomplishments, extracurricular activities, etc.

Athletics: Please state Student's primary sport.

Athletics: Please List other sports in which the Student participates.

Athletics: Please list and describe Student’s athletic accomplishments and awards.

Character: Please describe in detail this Student's character and sportsmanship.