District One Teacher Nomination

Please use this form to nominate a teacher who works in District 1 and you think goes above and beyond for their students. Each quarter, Councilmember Nick Haney will randomly select a winner from the entries to receive $150 in school supplies for the purpose of enhancing their classroom and student experience.

See a map of District 1

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1. Your Name (Required.)

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2. Your Email (Required.)

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3. Full Name of Teacher Nominated (Required.)

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4. Name of School (Required.)

Asante Preparatory Academy

Canyon Ridge Elementary School

Cimarron Springs Middle School

Cross Christian Academy

Desert Oasis Elementary

Western Peaks Elementary School

Willow Canyon High School

Other (please specify)

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5. Grade Level Teacher teaches (Required.)

Kinder

1st Grade

2nd Grade

3rd Grade

4th Grade

5th Grade

6th Grade

7th Grade

8th Grade

9th Grade

10th Grade

11th Grade

12th Grade

Other (please specify)

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6. Why are you nominating this teacher?

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7. Phone Number or Email for Teacher (Required.)

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8. Are they aware they are being nominated? (Required.)

Yes

District One Teacher Nomination

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* 1. Your Name (Required.)

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* 2. Your Email (Required.)

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* 3. Full Name of Teacher Nominated (Required.)

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* 4. Name of School (Required.)

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* 5. Grade Level Teacher teaches (Required.)

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* 6. Why are you nominating this teacher?

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* 7. Phone Number or Email for Teacher (Required.)

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* 8. Are they aware they are being nominated? (Required.)

1. Your Name (Required.)

2. Your Email (Required.)

3. Full Name of Teacher Nominated (Required.)

4. Name of School (Required.)

5. Grade Level Teacher teaches (Required.)

6. Why are you nominating this teacher?

7. Phone Number or Email for Teacher (Required.)

8. Are they aware they are being nominated? (Required.)