KPTV Classroom of the Month Nomination

Classroom of the Month Nomination
Supporting our Community's Teachers and Students
For classroom or distance learning, educational resources are essential. FOX 12 and Oregon Freemasons…celebrating 175 years, are teaming up to help support teachers and students.
We want to hear from you.

Please note that submitting a nomination does not guarantee that your nomination will be selected as the Classroom of the Month
Teacher/Instructor's Full Name*

First NameLast Name
Teacher's Email*

Confirmation Emailexample@example.com
Classroom Grade*
School Name*
School Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Principal's Name
Principal's Phone Number
Please enter a valid phone number.
What school supplies are needed?*
Nominator's Name

First NameLast Name
Nominator's Email*
example@example.com
Nominator's Contact Phone Number*
Please enter a valid phone number.
Why did you nominate this classroom?*
Any words of thanks or encouragement for the teacher you nominated?
Please verify that you are human*
Should be Empty: