*This Nomination Form will Close on Sunday, July 17 at 11:59 PM*
 
Thank you for your interest in nominating a student to serve as a MI Vote Matters High School Team Captain with the Michigan Department of State. 
 
Completion of this nomination form will require:
- Contact and education information for you and the nominated student
- Extra-curricular and student organization information (if known)
- Responses to two writing prompts (500 words or less each)

To begin your nomination, select the "Next" button below.
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25% of survey complete.

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