REMIX Character Nomination Form
Submitter's Information
Ministry Recognizing Awardee
*
Ministry Director/Assistant Director
*
First Name
Last Name
Ministry Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Awardee Information
Awardee Name
*
First Name
Last Name
Service the awardee will be honored
*
8 a.m.
10 a.m.
Noon
Character quality exhibited by awardee:
*
Background information on your awardee to include why s/he is being recognized, examples of his/her participation in your ministry and other ministries, name of school, grade level, GPA (if appropriate), school clubs/activities, etc.
*
Please submit any pictures you have of the awardee.
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Parent Information
Parent Name
*
First Name
Last Name
Parent Email
*
example@example.com
Parent Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Scripture Recommendations
Name (For Scripture)
*
First Name
Last Name
Parent/Guardian Name
*
First Name
Last Name
Parent/Guardian Email
*
example@example.com
Parent/Guardian Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Prayer Recommendations
Name (For Prayer)
*
First Name
Last Name
Parent/Guardian Name
*
First Name
Last Name
Parent/Guardian Email
*
example@example.com
Parent/Guardian Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Presider Recommendation
First Name
Last Name
Submit
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