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).
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
If under 18, Guardian's Name
First Name
Last Name
Teacher's Name
*
First Name or Mr., Mrs. Ms.
Last Name
School Name
*
School County
Describe the teacher's dedication to his/her job.
*
0/150
How does this teacher demonstrate a willingness to go the "extra mile"?
*
How is the teacher involved with the students outside of the classroom?
*
How has he teacher demonstrated compassion for his/her students?
Speak from the heart! Why should this teacher be honored?
*
Date of Birth
*
-
Month
-
Day
Year
You must be at least 13 years of age to submit this form.
Terms and Conditions
I have read, understand, and agree to the
Terms of Service
and
privacy policy
.
*
Client and partners have read Gray Local Media, Inc.'s Standard Terms and Conditions at http://gray.tv/terms.pdf and agree to those terms in full.
Submit
Should be Empty: