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 of high school
-Has a minimum GPA of 2.5
-Possesses leadership ability and interest in serving their community

Name of nominee *

Address *

Phone number *

Email address *

School *

Grade completed in 2019-2020 *

GPA (if known) *

Parents' names and phone numbers *

Brief summary of why this person would be a valuable JA of Meridian Crown Club Member *

Additional comments

Name of person filling out this form *

Submit

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