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* 1. Your Name:

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* 2. Contact Email (Our team will use this email to contact you if we have further questions regarding your nomination)

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* 3. I am nominating on behalf of:

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* 4. Name to be listed as nominator (ex. classroom name/head start site name/individual name):

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* 5. I am nominating:

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* 6. Nominee Title:

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* 7. Nominee Organization:

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* 8. Why they are a STEM Hero (this will serve as the biography for voters to learn more about your nominee):

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* 9. Photo of nominee:

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