COPPELL ISD Academic Recognition Banquet- Top 5% Student Form
Please complete this form and submit it by Noon on Thursday, March 1, 2018. You can contact Angie Arthur (aarthur@coppellisdef.com or 214-496-6054) if you have any questions.
First Name: *
Your answer
Last Name: *
Your answer
High School you attend *
Your answer
Cummulative GPA: *
Your answer
Student's preferred email address: *
Your answer
Student's Cell phone #: *
xxx-xxx-xxxx
Your answer
Parent's Email Address: *
Your answer
What are your college and/or career plans after high school (or those you anticipate at this time)? *
If you don't know your college or major at this time, list your top 3 and we can reach out to you before the program is printed.
Your answer
What notable activities have you been involved with in high school? *
Please list them. Ex. debate, academic decathlon, French club president, wrestling, worked all 4 years at sonic
Your answer
Chosen Honored Teacher Information
Please list 3 CISD teachers (K-12) who have significantly influenced your life and education and tell how they have impacted you. Each teacher MUST currently teach in CISD. Please be concise and thoughtful in your statement about each teacher. Your statement will be published in the Banquet Program. We will also use a portion of your statement to create a note card for you to speak from at the banquet.
1st Honored Teacher
1st Teacher Name *
Your answer
1st Teacher Grade Level *
Your answer
1st Teacher Subject *
Your answer
1st Teacher- How they have impacted you and your education *
minimum of 250 characters
Your answer
2nd Honored Teacher
2nd Teacher Name *
Your answer
2nd Teacher Grade Level *
Your answer
2nd Teacher Subject *
Your answer
2nd Teacher- How they have impacted you and your education *
minimum of 250 characters
Your answer
3rd Honored Teacher
3rd Teacher Name *
Your answer
3rd Teacher Grade Level *
Your answer
3rd Teacher Subject *
Your answer
3rd Teacher- How they have impacted you and your education *
minimum of 250 characters
Your answer
RESERVATIONS FOR DINNER
Each banquet table seats 10 guests. When your table is full, efforts will be made to seat additional guests in close proximity. Students and their Honored Teacher will receive dinner compliments of Coppell Education Foundation and will be seated together.
Dinner for the student will be covered compliments of the Coppell Education Foundation, but reservations are required *
Required
Additional Guests? *
Each additional guest is $60.
Total number of PAID Additional Guests
NOTE: The Student and Honored Teacher will each receive their Banquet Reservation compliments of the Education Foundation and SHOULD NOT be included in the Additional PAID Guest count listed below. To reserve a banquet seat, payment is due by Wednesday, April 12, 2017. Payment options listed below.
Names of additional guests attending @ $60/person
Your answer
Vegetarian and Gluten Free meals will be provided, if requested. Please list the name of each banquet attendee who will need a Vegetarian or Gluten Free meal AND specify Veg or GF. *
If vegetarian or gluten free meals are not needed, write NONE
Your answer
Reservation and Payments DUE by April 11, 2018
All reservations and payments DUE by April 11, 2018. You may pay by cash or check (made out to Coppell Education Foundation) and mail or drop it off at the Vonita White Administration Building (200 S. Denton Tap Rd). If you have any questions, you may contact Angie Arthur at 214-496-6054 or aarthur@coppellisdef.com.
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