Future Mountaineer Nomination Form

We appreciate your willingness to nominate a student to Berea College. Please be reminded that Berea College serves students who typically have a 3.0 or higher GPA and have high financial need (e.g. households with total incomes of less than $45,000).

Your nomination will enable this student to learn more about Berea. Please note your nomination does not guarantee admission or scholarship to the student and we may share your name with them.

Required fields are denoted with an asterisk (*).

Student Information

Student's First Name *

Student's Last Name *

Student's Birth Sex:

Female

Male

Student's Date of Birth *

Student's Email *

Future Mountaineer Status Nominee

Nominee

Student's Address *

Country

Street

City

Region

Postal Code

Student's Cell Phone

Student's High School *

Student's Graduation Year *

Tell us about this student's Special Achievements and/or Honors:

Tell us about this student, your relationship with them, and/or how they might be a good fit for Berea College.

Nominator Information

Prefix

Dr.

Mr.

Mrs.

Ms.

First Name *

Last Name *

Suffix

Future Mountaineer Scholar Relationship Type

Future Mountaineer Nominator

Name of Company, Organization, or School

Email *

Address

Country

Street

City

Region

Postal Code

Are you a Berea Alum?

Yes

No