Teacher Nomination Form
  1. Teacher's Information

  2. First Name(*)
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  3. Middle Name
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  4. Last Name(*)
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  5. School(*)
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  6. Grade/Subject(*)
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  7. Relationship to Teacher

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  9. Nominator Information

  10. First Name(*)
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  11. Middle Name
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  12. Last Name(*)
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  13. Address
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  14. City
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  15. State
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  16. Zip
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  17. Phone(*)
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  18. Email(*)
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  19. Describe why this individual is an outstanding teacher
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  20. Golden Apple Foundation may release my name and nomination to the nominee
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  21. Enter code how it appears(*)
    Enter code how it appears
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