Language
English (US)
Malay
Nomination Form
Language available: English, Bahasa Malaysia. Select option on the right.
1. Tell us about yourself
I am a:
*
Student
Teacher/principal
Parent/guardian
Full Name
*
Please provide full name as per IC no./Passport ID.
Contact Number
*
Please provide a valid contact number.
Email Address
*
Please enter a valid email
Current Level of Study
*
Please Select
SPM Form 1
SPM Form 2
SPM Form 3
SPM Form 4
SPM Form 5
STPM Lower Form 6
STPM Upper Form 6
IGCSE Year 7
IGCSE Year 8
IGCSE Year 9
IGCSE Year 10
IGCSE Year 11
UEC SM1
UEC SM2
UEC SM3
Back
Next
2. Submit your nomination story.
In 100 words or more, describe how your teacher has impacted your life, school, or community. Be descriptive—share specific moments that show their influence beyond the classroom, whether through mentorship, community work, or acts of kindness. Help us see the difference they’ve made.
*
0/250
Upload at least 2 teacher's photos (optional).
Browse Files
Drag and drop files here
Choose a file
Requirements: JPG/ PNG format, more than 300kb. Shortlisted will be contacted for photo submission.
Cancel
of
Back
Next
3. Fill in your teacher's information.
Teacher's Name
*
Please provide full name.
Teacher's Contact Number
*
Please provide a valid contact number.
Teacher's Email Address (optional)
Please provide valid email address.
School
*
School State
*
Please Select
Johor
Kedah
Kelantan
Kuala Lumpur
Labuan
Melaka
Negeri Sembilan
Pahang
Perak
Perlis
Pulau Pinang
Putrajaya
Sabah
Sarawak
Selangor
Terengganu
By clicking submit,
*
I agree to RISE Educator Award's
Terms & Conditions
, Taylor's
Terms & Conditions
and
Privacy Policy
utm_source
utm_medium
utm_campaign
utm_term
utm_content
First Touch Lead Source
First Touch Lead Source Detail
First Touch Lead Source Action
First Touch Lead Source Channel
Last Touch Lead Source
LastTouch Lead Source Detail
Last Touch Lead Source Action
Last Touch Lead Source Channel
Send Nomination
Should be Empty: