JA of Meridian Crown Club Nomination Form

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Qualifications for membership are as follows:
• Resides in Meridian or Lauderdale County
• Must have completed their freshman year.
• Has a minimum GPA of 2.5
• Completes an application for membership by the deadline.
• Possesses leadership ability and interest in serving their community.
• Be selected for membership by the Junior Auxiliary of Meridian.

Name of Nominee *

Address *

Phone Number *

Email Address *

School *

Grade Completed in 2021 - 2022 *

GPA (if known) *

Parent names and phone numbers *

Brief summary of why nominee would be a valuable JA of Meridian Crown Club member *

Additional Comments

Name of Person filling out nomination form *

Submit

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