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Elks Student of the Month Selection Form

The Brainerd Elks Lodge #615 takes great pride in supporting area high school students and encouraging them through the Student of the Month Awards program. Each high school in our service region is asked to select a senior for this honor.

The selection for the Student of the Month Award is made by the local school counselor(s). Each school develops its own process to select one senior student to honor. This award is designed to recognize students who use their personal skills and abilities to make positive contributions rather than a reward for academic and performance achievements. We request that you select a senior who is a credit to their home, school and community for this award. We will honor your choice with:

  • A $250 Award to the student
  • A congratulatory letter and certificate from the Lodge
  • A brief article in the local papers (optional, please send a recent photo)
  • An article in our Lodge newsletter, The Elkorama

We also encourage you to recognize the student at your school.

The students will receive their award at a recognition dinner that includes their parents or guardians and counselor which will be held in April. Invitations will be sent out in March.

Please submit the form for the student that you select.

Fields marked with an * are required.

Please verify that you have checked the “I'm not a robot” checkbox.

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Student Info

Student's First Name

Student's Last Name

Student's Email

Student's Parent(s) or Guardian(s)

Please enter the name of the Student's High School.

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Counselor Info

Please provide some personal background information on the student selected for this award.

Please provide the reason(s) why this student was selected for this recognition.

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