New York State Scholastic Rowing Association

Scholar/Athlete Award Nomination Form

PART 1: TEAM/CLUB INFORMATION
TEAM NAME:
HEAD COACH:
HEAD COACH EMAIL:
TEAM ADRESS
FOR
AWARDS TO BE
SENT:

BOYS or GIRLS
TEAM:
CONTACT
PERSON:
CONTACT E-MAIL
BEST PHONE
NUMBER FOR
CONTACT:

*List the names as they should appear on the NYSSRA Scholar/Athlete Award Certificate and press
releases.

PART 2: STUDENT ATHLETE and SCHOOL INFORMATION

Name of school: _________________________________

E.
G.

Student Last
Name
Smith

Student First
Name
James

Grade (1012)
12

Grade Point
Average
94.56

1.
2.
3.
4
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
*If more than 20 rowers meet the minimum 90.00 GPA, use the spaces on page 2.

PART 3: VERIFICATION
The student athletes listed on this roster have been verified as eligible varsity competitors by:
Name:_________________________________ Position:___________________ Date:________
The accuracy of the GPAs of these students listed on this roster has been verified by:
Name:_________________________________ Position:___________________ Date:________

Please do not forget to mail your $20 per team processing fee Make checks payable to
NYSSRA
E-mail this form to
newyorkstaterowing@gmail.com
for fastest processing.

U.S. Mail: NYSRowing Scholar/Athlete Program

c/o Stan Hudy
110 Brookline Road, F-7, Ballston Spa, NY
12020

New York State Scholastic Rowing Association

Scholar/Athlete Award Nomination Form
(CONTINUED)
Student Last
Name
2
1.
2
2.
2
3.
2
4
2
5.
2
6.
2
7.
2
8.
2
9.
3
0.
3
1.
3
2.
3
3.
3
4.
3
5.
3
6.
3
7.
3
8.
3

Student First
Name

Grade (1012)

Grade Point
Average

9.
4
0.
Head

Coach or Contact Person Instructions:

Please print or type the names and grades of the student athletes in alphabetical order on the team roster
If additional space is required make a duplicate this page
If your team is comprised of rowers from more than one school, but row under your club name, complete a
separate form for each school to be completed. Part 1: Your team name will remain the same
List your boys and girls teams separately

School Official:

Please enter the GPA from the appropriate time period for each student athlete listed on the submitted team
roster using a 1-100 scale.
Round GPA numbers to the nearest 100th. (92.1258 = 92.13)
Do not use weighted grades when computing GPAs
If letter grades are reported, convert to number grades as follow:
If converting from an A+ - F scale

A+ = 100
68
A = 95
A- = 92
D-/E/F/INC =

B+ = 88
B = 85
B- = 82
0

C+ = 78
C = 75
C- = 72

If converting from an A F scale:

D+ =
D

= 65

A+ = 100
69
A- = 9

B+ = 89

C+ = 79

D+ =

B = 86
B- = 83
D-/E/F/INC = 0

C = 76
C- = 73

CHECKLISTS

Head Coach or Contact Person

o
o
o
o
o

Give school official(s) this form in

plenty of time
Type or print name, e-mail and
mailing addresses
Provide name of verifying official in
Part 3
List boys and girls teams on
separate nomination forms in Part II
Mail the $20 processing fee per team

= 65

School Official(s)
o
o

Give GPA information in the proper

format in Part 2
Provide name of officials verifying and
GPA in Part 3