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iInspire Award Nomination Form
Please indicate your agreement with both statements below:
*
I have received the permission of this youth to make this nomination.
I have received the permission of at least one parent, legal guardian, or legal custodian of this youth to make this nomination.
Your Full Name
*
Your Phone Number
*
Your Email Address
*
Confirm Email
*
We will send you an email copy of this form. Otherwise we will only contact you
if the youth you nominate
below
is selected to receive
an iInspire Award.
About Your Nominee:
Nominee First Name
*
Nominee Last Name
*
Nominee School District
*
Nominee Age
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Nominee Gender
*
Nominee Phone Number
Nominee Email
How long have you known this youth?
*
Less than one year.
More than one year.
How has the youth overcome adversity and inspired others to do the same? Please be as specific and as detailed as possible.
*
0/1800 characters
About Your Nominee's Legal Guardian:
Guardian First Name
*
Guardian Last Name
*
Guardian Phone Number
*
Guardian Email
You have reached the end of the nomination form.
Click "Submit Nomination" below to complete your nomination.
Thank you!