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* 1. What is YOUR NAME and contact information (include telephone number and email)?

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* 2. What is the NAME and contact information for the person you are nominating as your 2021 School Superhero (if you do not know the contact information, please fill in with UNK)?

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* 3. What school does your Superhero serve at?

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* 4. What is their role/job title at your school?

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* 5. Why do you think they deserve to be the 2021 Jefferson County School Superhero?

When you submit this nomination, you agree to allow DRA to email you the links to vote for the 2021 School Superhero.  Your email will not be distributed or used for any other purpose.
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