Vinton Shellsburg Community School District Foundation's Gifts of Gratitude.

Remember those who have made a difference in your life by giving the Gift of Gratitude

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* 1. Person for whom you want to express gratitude. (first and last name)

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* 2. How did this person(s) make a difference?

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* 3. I am noting the difference they made as a: (can choose more than one)

Teacher

School staff

Administrator

Coach

Community member involved with the school.

Other (please specify)

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* 4. Your Contact Information

Name

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

Leave blank if you would prefer to remain anonymous

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* 5. Please tell us a little about what yourself.

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* 6. I am a member of the class of

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* 7. A key component of the Gifts of Gratitude program is sharing nominations with the public. Please check specific releases to give us permission to share your nomination through press releases, by posting on district and foundation websites, and/or social media.

Press releases.

Websites.

Social media.

Your name.

Your city and state of residence.

Your class year, if applicable.

Your reason for nominating your Difference Maker.

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* 8. May we edit your submission for clarity or to correct errors?

Yes

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* 9. I would like additional information about the Vinton-Shellsburg Community School District Foundation's programs supporting PreK-12 education.

Yes

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* 10. If contact information is known, please include a method in which the foundation can reach them.

Phone

Other

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* 11. If you have a photo of the person whose contributions you are acknowledging, you can upload it here.

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.

Choose File