Nomination Form

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Peacock Military Academy Alumni Association

The West Point of Texas 1894 – 1973

Name of School

School Mailing Address

Name of School Contact Representative

School Contact Telephone Number and Email

Name of Student Nominee

Check If Student Participates in School’s

ROTC Program Military-style Leadership Program Other Character Development Program

Student’s Military Rank (if any) and Grade Level

Short Narrative of the Reasons This Student was Selected for This Award

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