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page_logo.png Award Nomination Form

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  The SuperStar Rewards program will regularly recognize and inform the public of outstanding SuperStar-related achievements by program participants !
 

If you would like to nominate just such a person and he or she is affiliated with a participating school, please let us know by completing the the form below.
     
Award Nomination Form
School Information
School:star_reqrd_t.gif
  star_reqrd_t.gif = required information
Salutation:star_reqrd_t.gif
(school principal)
Last name:star_reqrd_t.gif
City:star_reqrd_t.gif
State:star_reqrd_t.gif
Phone:star_reqrd_t.gif
Ext:
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contact:blank.gif
Comments:blank.gif
Your Contact Information
First name:star_reqrd_t.gif
Last name:star_reqrd_t.gif
I am a:star_reqrd_t.gif
Contact me:star_reqrd_t.gif
Phone:blank.gif
Ext:
Fax:blank.gif
email:star_reqrd_t.gif
Comments:blank.gif
Your Nominee's Information
First name:star_reqrd_t.gif
Last name:star_reqrd_t.gif
Nominee is a:star_reqrd_t.gif
I (we) would like toblank.gifnominate this person because:star_reqrd_t.gif
Timing:blank.gif
Click here to insert the start date.
Click here to insert the end date.
(select start date) (select end date)
 
 


All nominations will be promptly reviewed by the SuperStar staff.

If your nomination receives preliminary SuperStar approval, it will be returned to you to print and have signed by the participating school's principal.

The principal will then forward this fully approved nomination to the SuperStar staff and we will then contact you about recognizing your nominee !

 
 
 
By selecting the “Yes” button, you acknowledge that you understand and agree to this process.

Yes No

 
 
 
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“say it !”
One of the most delightful things about having children is experiencing the miracle of their development, watching the delight, innocence, and expression as they capture the newness in each experience, and sharing in the laughter of their play.

Anne K. Blocker
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