Golden Apple Nomination

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Nominate your Teacher

In 100 words or less, tell us why your teacher should be the Golden Apple Teacher of the Week.  Any teacher, grades K-12, in the WJHG viewing area is eligible to receive this award.
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1.Your Contact Information (Children under the age of 13 may not submit this form and must have a parent or legal guardian submit on their behalf).
First Name* M.I. Last Name*

Email Address* Daytime Phone* Evening Phone*
2.If under 18, Guardian's Name
3.Your Teacher's Information
Teacher’s First Name*
Teacher’s Last Name*
School*
Grade*
4.Tell us why you are nominating your teacher.*
5.Please enter your date of birth.
Month* Day* Year*
6.Terms and Conditions
I have read, understand, and agree to the Website usage agreement and privacy policy.
* represents required fields
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