Nomination Form

Deadline: March 1, 2026

Nominee Information:

First Name: *

Last Name: *

Age: *

Gender: *

Male
Female

Email: *

Phone: *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Zip / Postal Code

Country

Academic Excellence

Current Grade/Level: *

Educational Institution or Program: *

Parent/Guardian Name (if applicable): *

File Upload

Drop your file here or click here to upload

Please attach or describe the nominee’s academic achievements over the past 12 months.

Brief Summary of Academic Performance:

Covenant Contribution:

Describe how the nominee has contributed to the building of the Israelite family and nation. Examples may include teaching, mentoring, organizing events, creating educational materials, or supporting family worship.

Character and Identity:

Describe how the nominee reflects Israelite values in speech, conduct, and community life. Include examples of respect, humility, leadership, and understanding of covenant identity.

Supporting Materials Checklist:

Academic Transcript or Report Card
Recommendation Letter (Teacher, Mentor, Elder)
Personal Reflection or Testimony (if applicable)
Samples of Work or Contribution (optional)
Parent/Guardian Consent Form (for minors)

Date: