AGS 2019 | Composite Nomination Information Sheet
2019 ARKANSAS GOVERNOR'S SCHOOL
COMPOSITE NOMINATION INFORMATION SHEET
Superintendent or Principal (Indicate position) Please print __________________________Signature __________________
Signing indicates a school official has previewed each student’s audition for clarity and appropriateness of material.
High School Name School District________________________
High School Address __________________________________________ Phone Number _______________________
Contact Person_________________________ E-mail address ______________________ Phone Number ___________
Size of Junior Class________ Demographics of the Junior Class (percent): Asian Black Hispanic
American Indian/Alaska Native Hawaiian/Pacific Islander White Two or More Races
Total Nominations________ Demographics of the nominated group (percent): Asian Black Hispanic
American Indian/Alaska Native Hawaiian/Pacific Islander White Two or More Races
Please list in alphabetical order all students nominated for Arkansas Governor's School. PLEASE DUPLICATE AS NEEDED
Mark with a “1” or “2” to indicate student preference for each Area I in which the student is applying (no more than two)
KEY: CS – Cybersecurity Specialty Program CM - Choral Music D – Drama LA – Language Arts
IM- Instrumental Music M – Math NS – Natural Science SS – Social Science VA – Visual Arts