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Mom of the Year Application 2018
Now is your chance to tell us about how special your mother or mother figure is to you! This award is to honor someone in your life that has played the role of mother. It could be an aunt, a sister, a grandparent, etc.
Mom's Day is scheduled for Saturday, April 21, 2018. Submissions for Mom of the Year are due Friday, April 6. Please direct any questions to the Leadership Center at 870-972-2055 or
Email address *
First & Last Name *
A-State ID # *
Classification *
Phone Number *
Hometown (City, State) *
Mother/Mother Figure's Name (First & Last) *
What would it mean to you if your mother figure was chosen as A-State's Mom of the Year?
What is your favorite memory with your mother figure?
What is your mother figure's greatest quality?
If you wish, please attach a photo of you with your mother figure.
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