Scholarship/Fellowship Nomination Form

Only one form is needed to nominate a student for multiple awards. Please only nominate students for scholarships that truly apply to them.

Please note: Membership numbers are listed on your monthly chapter roster. Nominations for all scholarships listed on this form must be received by Nov. 15 (except Vinod & Gail Sahney Scholarship which is due Dec 31). Fields marked in bold are required.

U.S. Territories/Canada/Mexico Only


U.S. and International

For questions, contact Elizabeth Grimes, Headquarters Operations Administrator at or 770-349-1132  


The nominee's Information


Nominee's Name:


Complete Mailing Address:


Phone Number:


 E-mail Address:


Chapter Number:


Membership Number:


Current Academic Level: 

Expected Graduation Date (mm/dd/yyyy): 


Does the nominee have a minimum cumulative GPA of 3.40 on a scale of 4.00 (3.00 for the Lisa Zaken Award for Excellence)?



For UPS Minority Scholarship: Is the nominee African American, Hispanic, Asian, or Pacific Islander, American Indian or Alaska Native?



Your Information:


Nominator's Name:


Nominator's Title:


Norminator's School:


Nominator's Full Mailing Address:


Nominator's E-mail Address:


Nominator's Chapter Number: