Student Superstar Nomination Form
Student Superstar Nomination Form
Student Superstars are recognized in Lowcountry Parent Magazine and online at
lowcountryparent.com
.
Student's name:
Student's name:
*
First
Last
Student's age:
*
Student's date of birth:
Student's date of birth:
*
/
MM
/
DD
YYYY
Student's grade (if applicable):
Student's school (if applicable):
Student's school district (if applicable):
Parent/guardian(s) information
Parent/guardian name:
Parent/guardian name:
*
First
Last
Parent/guardian name:
Parent/guardian name:
First
Last
Parent/guardian email:
*
Parent/guardian phone:
Parent/guardian phone:
*
-
###
-
###
####
Nominating teacher or staff member's information
Nominating name:
Nominating name:
*
First
Last
Nominating email:
*
Nominating phone:
Nominating phone:
*
-
###
-
###
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A brief (200 words or less) description of what makes your student a superstar:
*
Maximum of
200
words allowed.
Currently Entered:
0
words.
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