2021 ETA "Those Who Excel" 6th and 8th Grade Award Survey

Student Information

Each 6th grade teacher should nominate one student. One member of the staff at each middle school should input nominations for 3 8th grade students.

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* 1. Student's grade level:

6th

8th

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* 2. Student's First Name

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* 3. Student's Last Name

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* 4. Phonetic spelling of student's name

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* 5. Name of the Teacher Nominating the Student

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* 6. Student's School

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* 7. Students's home address

Street Address

Apt. #

City

Zip Code

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* 8. Student's Home Phone Number

Area Code

Phone number

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* 9. Student's Parent/Guardian

Parent(s) Name(s) or

Guardian(s) Name(s)

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* 10. Student Shirt Size

Small

Medium

Large

XL

2XL

Extra Small

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* 11. Student's Accomplishments - In 25-50 words, explain why this student was selected for the award. Be sure to include information about activities and awards IN SCHOOL.

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* 12. Thank you for submitting your student's nomination. Please enter the e-mail address of the person completing this survey below so a confirmation of your "Those Who Excel" nomination may be sent to you. Thank you!