Visionary Award Application Form

Visionary Award Nomination Form

Please nominate a Milton Hershey School student in grades 4-11 who exemplifies the character traits valued by Milton and Catherine Hershey.

A student's nomination must be supported by both the student's houseparents and a member of scholastic staff. However, only one application needs to be submitted.

Student's first and last name(Required)

Grade level(Required)

Houseparents(Required)

Student home(Required)

Nomination submitted by(Required)

Today's date(Required)

Describe how you have seen this student demonstrate key character and leadership traits as well as the school's Sacred Values and Essential Behaviors. Please be sure to include as much specific information as possible.

Commitment to Mission (knowledge of Milton and Catherine Hershey and their deeds, knowledge of the school's history and heritage, displays school spirit and knows the Alma Mater, and is an ambassador for the school and its beliefs and mission)

Positive Spirit (displays positive leadership and is a role model for others and has a cooperative and inclusive spirit)

Mutual Respect (shows empathy and care for other people and reaches out to others beyond the ordinary)

Integrity (demonstrates a commitment to a code of strong moral values and shows that they are someone who "walks the talk")

Grit (shows passion and perseverance for long-term goals, has stamina and works hard day in and day out to make their future a reality)

Growth Mindset (demonstrates a desire to learn, embraces challenges, show persistence in the face of setbacks and learns from criticism and finds inspiration in the success of others)