Apso Nomination Form - The College Board Page 3
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4Part 2: To Be Completed by Counselor or Teacher
Name:
Title:
School: _______________________________________________________________________________________
Street Address: _________________________________________________________________________________
City:
State:
ZIP: _________________
Phone:
Email: _____________________________________
How would you characterize your school/district? (Please mark all that apply.)
☐Urban
☐Suburban
☐Private
☐Rural
☐Small town
☐Parochial
☐Inner City
☐Public
Approximately what percentage of your school’s student population is: (Please mark all that apply.)
American Indian or Alaska Native
☐75 to 100%
☐25 to 49%
☐50 to 74%
☐0 to 25%
Asian, Asian American, or Pacific Islander
☐75 to 100%
☐25 to 49%
☐50 to 74%
☐0 to 25%
African American or Black
☐50 to 74%
☐75 to 100%
☐25 to 49%
☐0 to 25%
Hispanic or Latino
☐50 to 74%
☐75 to 100%
☐25 to 49%
☐0 to 25%
Counselor/Teacher: Attach a one-page statement explaining why your nominee would excel at representing students from your
school and from across the nation. Please include an example of his/her insight into educational issues impacting today’s students and
describe how long you've known the student and in what capacity.
Part 3: To Be Completed by Parent/Guardian
Parent/Guardian Name:
Parent/Guardian Phone:
I have read the attached APSO description and understand that as part of the APSO, my child will be traveling on his/her own to
meetings across the country at the College Board's expense. I consent and agree to the nomination of my child.
Parent/Guardian Signature:
Page 2
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