Student Heroes Nomination Form

Student Heroes Nomination Form

Texas State Board of Education (SBOE)
Name of Nominee*

First NameLast Name
Current Grade *
Age*
Age at time of application.
Nominee's Address *

Street Address

Street Address Line 2

CityState

Zip Code
Name of Public School or Charter School *
School Address*

Street Address

CityState

Zip Code
School District's Name*
Signature of Nominee's Parent or Legal Guardian (By typing the nominee's parent or legal guardian's name, nominator has obtained their permission to nominate their child).
Required for nominees under 18 years old.
Nominee's Parent's or Legal Guardian's Phone Number*
Nominee's Parent's or Legal Guardian's Email Address*
example@example.com
Signature of Nominee (By typing the nominee's name, nominator has obtained his or her permission to be nominated).
Signature required for nominees 18 years old and up.
Nominated by*

First NameLast Name
Nominator's Relationship to Nominee*
Nominator's Email Address*
example@example.com
Nominator's Phone Number*
Signature of Nominator (By e-signing below, you certify all information is correct and hereby acknowledge you have read the nomination information available at the SBOE website at https://sboe.texas.gov/state-board-of-education/sboe-awards/student-heroes-award)*

Clear
State Board of Education Member (NOTE: If you do not know who represents your nominee, copy and paste this link https://wrm.capitol.texas.gov/home on your browser and type in your nominee's school address OR if it's an online public school, your nominee's address of residence.)*

District 1, Gustavo RevelesDistrict 2, LJ FrancisDistrict 3, Marisa Perez-DiazDistrict 4, Staci ChildsDistrict 5, Rebecca Bell-MetereauDistrict 6, Will HickmanDistrict 7, Julie PickrenDistrict 8, Audrey YoungDistrict 9, Keven EllisDistrict 10, Tom MaynardDistrict 11, Brandon HallDistrict 12, Pam LittleDistrict 13, Tiffany ClarkDistrict 14, Evelyn BrooksDistrict 15, Aaron Kinsey
NOMINATOR: Submit an essay about your nominee. Tell us why the individual is deserving of the Student Heroes Award. Please include specific examples of the volunteer work/s performed by uploading supporting documents not to exceed the maximum file size of 20 MB. Examples of supporting documents are photos, videos, press releases. Title all submissions with the student's first and last name.*
FOR NOMINATORS ONLY: If your nominee is chosen, a Press Release is sent out highlighting your nominee's outstanding volunteerism. Please write 7 to 10 sentences to spotlight his or her accomplishments (to get an idea, copy and paste this link to your browser https://sboe.texas.gov/state-board-of-education/sboe-awards/student-heroes-award.*
STATEMENT OF PERMISSION: If chosen, the nominee (18 yrs and older) OR parents/legal guardian for a nominee 17 yrs and younger, grant SBOE permission to use all or part of the submitted documentations and award photos for its online and/or print publications such as press releases, social media, or the SBOE website.

By clicking the Submit button below, all participants in this form AGREE to the statement above.
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