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2. 
4. Nominee Information:
6. First Name*
7. Last Name*
9. Child's age
10. Child's Grade
11. Name of School
13. School's Contact Person
17. Name of Parent(s)/Guardian(s)*
19. Address
21. City
22. State
23. Zip Code
25. Phone Number(s)*
26. Email Address
30. Nomination / Sponsor's Information
32. Name*
33. Email Address
35. Address
37. City
38. State
39. Zip Code
41. Phone Number*
45. BRAG TAG
47. Please provide a detailed description (at least four sentences) of why you feel this person should be recognized and details of what they did.*
49. EXAMPLE

    I respectfully submit a request for recognition of __________________________, whose actions on ______________________ [Date(s) of the incident] were exemplary. [provide a detailed account of the positive action, including specific individuals involved and the context—ensure to elaborate with a minimum of four sentences and a maximum of 500 words. Incorporate details regarding their good deed or community service, as well as relevant information about their academic achievements, extracurricular activities/hobbies, awards, and notable character traits.]  NAME saw that his elderly neighbor had been unable to do chores around the house and yard due to a recent accident.  On his initiative, he raked his yard for him and then mowed.   OR She planned a bake sale to raise money for her friend’s family who recently had some unexpected medical expenses.   OR who quietly helped another student who was struggling in math to understand how to work the problems without being asked or making a scene.   OR sat with a new student or special needs student to make them feel included without being asked.

    I believe that their contributions have had a significant and positive impact on [specify the particular effects of their actions]. I would be grateful for the opportunity to acknowledge them for their initiative and dedication to upholding commendable values and doing the right thing regardless of whether anyone is watching. 

    Thank you for your attention and consideration.

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53. 1. Receive an email copy of this form.
54. Email address

    This field is not part of the form submission.

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