Cheatham-White Scholarship Self-Nomination Form

Nomination Instructions

Nominations must be received no later than November 1 of the student’s senior year and meet one or both of the following conditions:
(1) Home schooled or not attending an endorsing school.
(2) Did not receive a school endorsement, but still feel highly qualified for consideration.
Incomplete nomination forms will not be considered.
Upon submission of this form the person listed as a reference will receive an email notification to complete a brief recommendation on the applicants behalf. Once the reference form is received, students will receive an automated email with notification they have been nominated for the Cheatham-White Scholarship. The email will provide further instructions for the next steps in the application process. 

Student Nominee Information

Academic Information

0/500 words


Please provide the name and contact information for someone to support your self-nomination. This person will receive a separate email to submit requested information. Recommendation must come from a high school administrators, counselors, or teachers.

Self Endorsement

To be completed and signed by the student nominee.
I acknowledge my endorsement and consideration for the Cheatham-White Scholarship based upon my outstanding academic achievement, stellar character, intellectual promise, leadership, and service commitment. I also certify that the submission of information above is accurate and describes this student’s record to the best of my knowledge.