Award Nomination Applications
Admin Information
Date Submitted: June 11, 2019 at 11:35 am
Application Number: EAN-25
Admin Decision: Pending – Edit
Date of Decision:
Decision Comments:
Nominator Information
First Name: Poppy
Last Name: Doyle
Address: 10365 Monroe Road
Lakeland
Tennessee
38002
Relationship to Nominee: Instructor
Type of Award: Camp
Justification:
Family would really like for Nalani to attend camp but has financial constraints.
Nominee Information
Is Nominee a minor? Yes
Date of Birth: November 29, 2012
First Name: Nalani
Last Name: Derenburger
Address: 4761 Emmas Circle w
Collierville
Tennessee
38017
Parent/Guardian First Name: Jessica
Parent/Guardian Last Name: Derenburger
Name of Current School: Shilling Farms Elementary
Grade: 1st grade
Justification:
She tries very hard and is very determined. She loves riding!