Can't Hide Huskie Pride!
The Stakeholder Engagement Department shares events and recognition through various communication tools.  These tools include: Website, Social Media, and Newsletters.  If you would like to recognize a Harlem staff member, student or alumni or you would like to make us aware of a recognition a Huskie is receiving, please complete the form below.  Topics can include, but are not limited to recognitions, classroom projects, awards, special initiatives or contributions to the community.

*Please note that while we try our best to publicize all information shared with us, completing this form does not guarantee the information will be shared.

If you have any questions, please email jason.blume@harlem122.org.  
Sign in to Google to save your progress. Learn more
Submitted By *
Contact Email *
School *
Is the person receiving recognition a staff member, student, or alumni? *
Name of person deserving recognition *
Please provide a detailed description of the recognition the person is receiving or why you feel they should be recognized. *
Date of recognition (If any)
MM
/
DD
/
YYYY
Time of recognition (If any)
Time
:
District Contact Person (If other than you)
Please note any restrictions on the publicity (i.e. internal only) or other information that may assist us
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Harlem Consolidated School District #122. Report Abuse
Google Forms