2025 Teens and Kids Who Care Service Award
Student Nominee Information Form for students in Grades K-12
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Who are you nominating for this service award? *
Student Name: 
(as will be printed on certificate)
Student Email Address:
Parent/Guardian Name(s):
Parent/Guardian Phone Number
Parents/Guardian Email Address
School
What is your current grade?
Clear selection
Are you under the age of 18?
Clear selection
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