Nominate Your Teacher
Your Contact Information (Children under the age of 13 may not submit this form and must have a parent or legal guardian submit on their behalf).
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First Name
Last Name
Email
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example@example.com
Phone Number
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-
Area Code
Phone Number
If under 18, Guardian's Name
First Name
Last Name
Teacher's Name
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First Name or Mr., Mrs. Ms.
Last Name
School Name
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School County
Describe the teacher's dedication to his/her job.
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0/150
How does this teacher demonstrate a willingness to go the "extra mile"?
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How is the teacher involved with the students outside of the classroom?
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How has he teacher demonstrated compassion for his/her students?
Speak from the heart! Why should this teacher be honored?
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Date of Birth
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Month
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Day
Year
You must be at least 13 years of age to submit this form.
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