All Kansas Academic Team

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This form must be completed for the All-State Academic Team nominee and submitted along with a professional quality, digital color photograph (head and shoulders) suitable for publication in statewide media. Please provide photo after submitting this form to cgifford1@butlercc.edu with your name and college in the subject line.

Full Name (First and Last Name) *

Preferred pronouns *

Email Address *

Two-Year College/Campus *

If you are a TRANSFER Pathway student, what is your transfer university you plan on attending.

If you are a WORKFORCE Pathway student, what is your employment plan.

Major *

Career Goal *

College Activities *

College Honors

I understand I must complete the All-USA Application process in addition to this form to be named to the All-State Team. *

Yes

I release my directory information to universities in the state that provide scholarships for All-State Team Members. *

Yes

I have emailed my professional quality, digital color photograph (head and shoulders) suitable for publication in statewide media to cgifford1@butlercc.edu. *

Yes

Submit

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