Nomination Form

Nominator Information
How would you like to enter your nominees' information?
Please upload your file:

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Select One:
Your Full Name

First NameLast Name
Nominator's Role
Other (please specify)
School Name
Please type the full name of the school as it should appear on your students' certificates.
School District
For private or charter schools, enter Private or Charter
School Physical Address

Street Address

Street Address Line 2

CityState

Zip Code
School Email

Confirmation Emailexample@example.com
Personal Email

Confirmation Emailexample@example.com
Are you nominating on behalf of another educator?
Who are you nominating on behalf of?
How did you learn about Education in Action? (Select all that apply.)
Shirt Size (if you plan to nominate at least 20 students):
Please confirm:
Nominees
How do you want to notify your nominees?
Your nomination indicates your nominees demonstrate scholastic merit and leadership ability. To participate in the Lone Star Leadership Academy, students must:
- Be in the 3rd, 4th, 5th, 6th, 7th, or 8th grade during the current school year
- Have a B (85% or 3.5) grade average or higher
- Show commitment to community or school involvement
- Demonstrate leadership ability
There is no limit to the number of students you may nominate.

Nominees' names and addresses remain confidential and are not made available to third parties.
Nominate 20 students

to receive this year's Lone Star Leader t-shirt, FREE! Your nominees will have an opportunity to order their very own!
In order to receive a complete set of end-of-year certificates, please provide the names of your nominees as they should appear on their certificates.
Enter the first student below. If you have more than one student to enter, click "Add Nominee" and repeat until you have entered all nominees.
Nominees
Nominees
Nominees
Review and Submit
Each nominee's name will be printed on a certificate as you have entered it.

Please take a moment to review your entries for spelling and capitalization.

You will receive a list of your nominees via email for your records.
Note: If you experience any issues submitting your nominations online, you may email them directly to abarnes@educationinaction.org.
Should be Empty:

Nominator Information

Nominees

Nominate 20 students

Review and Submit