2026 Junior Scholar Nomination Form

Counselor Information

First Name

Last Name

Email Address

School Name

School Address

Country

Street

City

Region

Postal Code

Student Information

Please complete the form in full for each student you are referring. This form allows you to submit up to 10 students at a time. If you are submitting nominations for more than 10 students, please email Christa Hillers at fazzinoc@uscupstate.edu to request a templated Excel spreadsheet for submitting additional nominees. Once completed, please return the spreadsheet to the same email address.

Junior Scholar nominations must be submitted by April 1, 2026.

Delete_ID_
Are you nominating this student as a Junior Scholar? Does the student have a minimum 3.0 GPA? Does the student have a minimum 3.0 GPA? Yes No Is the student in the top 25% of their class? Is the student in the top 25% of their class? Yes No This student does not meet our minimum requirements for Junior Scholar nominees. If you would still like to refer the student to Upstate, please change your Junior Scholar nomination to "No" for this student. First Name Preferred Name Middle Name Last Name Email Address Mobile Phone Number Birthdate Birthdate Mailing Address Country Street City Region Postal Code Inquiry Student Type: FTIC Term they plan to begin college SC Uniform High School GPA

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Entry Year