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* 1. Your Name

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* 2. Your Phone Number

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* 3. Your Mailing Address, City, Zipcode

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* 4. Your email address

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* 5. Your occupation

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* 6. Your place of employment

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* 7. Student's Name

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* 8. Student's Grade Level

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* 9. Student's School

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* 10. Student's Legal Guardian's name

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* 11. Legal guardian's contact number

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* 12. Legal guardian's contact email (if known)

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* 13. How do you know the student?

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* 14. Which area(s) has the student made a positive difference?

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* 15. Please describe how this student has made a positive difference in our community.

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* 16. Describe how this student has shown respect for others and helped them to see their true value and potential. In your own words, how have they represented the mission of the respect team.
The mission of RespectTeam and its curriculum is to help students see how valuable they and those around them are, to teach them how to build strong relationships and value each other's opinions, and to show them how effective communication and respect are important for all ages.

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