Pinnacle Nomination Form

Priority Deadline: March 12, 2024

Thank you for nominating a student for a Pinnacle Scholarship expedition with Outward Bound California! More information about the Pinnacle scholarships can be found on the website.

First Name

Middle Name

Last Name

Suffix

Jr, Sr, III, etc.

What name should we use for you?

Country

Street Address

City

State/Province

ZIP/Postal Code

Email Address	Email Type
Mobile Phone	Do we have permission to text this mobile number?
Home Phone	Preferred Phone

Pinnacle Scholarship Eligibility

By checking this box, I acknowledge that I have read OBCA's Essential Eligibility Criteria and believe attending a multi-day backcountry expedition is a good fit for my nominee right now.

Yes

Do you have any questions or concerns after reviewing Outward Bound California's Essential Eligibility Criteria?

Outward Bound is a place for students to grow and develop. Please comment on your student's ability to manage stress in difficult situations, and whether you feel they will be able to complete a multi-day backcountry expedition.

After reviewing the two course descriptions on the Pinnacle website, please indicate which scholarship you are nominating your student for:

Pinnacle Scholarship Course, July 3-16, 2024Pinnacle LGBTQ+ Affinity Space Course, July 3-16, 2024

Pinnacle Scholarship Nomination

Nominee Information

What is the name of the student you are nominating?

How long has the student been involved with your agency/school?

What is the student's age?

What is the student's hometown? Where do they live currently?

Has the student has completed their portion of the Pinnacle Scholarship Application?

YesNoI'm not sure

What do you hope this student will gain from an Outward Bound experience?

What are three strengths this student brings to an Outward Bound course and their crew?

What are three areas of growth for this student?

What is the student's involvement with your agency?

What extracurricular activities is the student involved with? What are their other interests?

How has the student demonstrated leadership skills? Please be as specific as possible.

How does the student react to stressful, difficult, or challenging situations? Is the student currently experiencing any particular challenges we should be aware of?

What are this student's greatest concerns or fears about participation on an Outward Bound course?

Mentors are responsible for organizing transportation to/from course start in Fresno, as well as helping their student acquire the gear they'll need from our Packing List. Please comment on your plans to assist your student with preparation.

As the person/mentor nominating this student for a scholarship, will you be available during the summer in case they need support from home while attending the Outward Bound course?

YesNo

You indicated that you will not be available during the summer. Please write the information for a person who will be available in case the student needs support from home. (Please include name, phone number, title, relationship to the student, and any other information you think would be helpful.)

Scholarship Nominator Acknowledgement

As a nominator of a Pinnacle Scholar, I agree to support my student through the application process. I will help them to prepare for their course, and arrange their travel to and from the course start and end location. I am responsible for the cost, although a travel stipend is available from Outward Bound California.

I understand that my nominee's place is not secure until all enrollment materials are returned and their application is approved and medically cleared by Outward Bound California's Student Services team. I agree to help my nominee meet all paperwork deadlines and adhere to all standard review policies.

For more information about this process, I will refer to the Pinnacle Partner Handbook on the Pinnacle website.

Nominator Signature

By electronically typing my signature, I agree that it has the same legal effect as my handwritten signature. I declare that the information provided by me is true and complete to the best of my knowledge. I acknowledge that my responses may require follow up.