ZIFCHAK AWARD NOMINATION FORM

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Email address *

First name *

Last name *

The Robert Zifchak Male Scholar-Athlete Award.

The Region 19 Robert Zifchak Male Scholar Athlete Award is given annually to a male student athlete in Region 19.

Criteria/Qualifications

*Must have participated in a sanctioned NJCAA Sport

*Must have a minimum of a 3.5 GPA and 36 credits (scan copy of transcript to Region Awards Chair *required*)

*Minimum All-Conference, All-Region, and/or All-American accolades

*Community involvement

Name of Zifchak Award Nominee (First/Last) *

College *

Sport *

GPA *

Credits *

Academic Achievements *

Athletic Achievements *

Community Involvement *

Scan copy of transcript to Region Awards Chair

* required field