Nominated Teacher Information
Teacher First Name*
Teacher Last Name*
Email of the Teacher You Are Nominating*
Teacher Title*
School Name*
School Address - Street Address*
School Address - City*
School Address - State*
--Select State--
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
School Address - Zip Code*
Your Information
Your First Name*
Your Last Name*
Your Phone Number*
Your Email*
Nomination Questions
How does this teacher make students feel strong?*
0 / 300 words
In what ways does this teacher make a lasting impact on others?*
0 / 300 words
Share what makes this teacher deserving to be celebrated*
0 / 300 words
What is Your Relationship to the Nominated Teacher?
-- Select an option --
School Parent
Coworkers - School Staff / Administration
Coworkers - School Teacher
Friend of Teacher
Past Student
Other
Where Did You Hear About the Heroes of the Classroom contest?
-- Select an option --
School Staff
Teacher
Email
Social Media
School Flyer
Kleenex Brand Tissues
Parent/Friend
Other
I would like to be notified when additional free offers, contests, incentives, and programs become available to my school.
I acknowledge and agree that I have read and agree to the
Official Rules
, and I am 18+ and a legal resident of, and physically reside in, the 50 U.S. or DC, and the teacher I am nominating is a legal resident of the 50 U.S. or DC, legal age of majority and is a current teacher at a K-12 public or private school located in the 50 U.S or DC. I am providing the above information to Campus Multimedia for the purpose of winner selection/notification only.
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