Maryland Mensa's
Please fill out the form for EACH NOMINEE (i.e., if you plan to nominate two people, you'll need to fill out the form twice).
NOMINATING INDIVIDUAL'S NAME *
Your answer
NOMINATING INDIVIDUAL'S E-MAIL ADDRESS *
Your answer
NOMINEE NAME *
Your answer
NOMINEE E-MAIL ADDRESS (OR PARENT/GUARDIAN E-MAIL ADDRESS) *
Your answer
NOMINEE MAILING ADDRESS
Your answer
CATEGORY *
JUSTIFICATION *
FOR GIFTED YOUTH NOMINATIONS: Please provide a concise explanation of how the nominee achieved excellence as demonstrated through a special project, experiment, or other example of his or her applied intelligence. FOR SUPPORTING ADULT NOMINATIONS: Please provide a concise explanation of how the nominee went above and beyond the call of duty to support the intellectual development of a gifted youth.
Your answer
NEXT STEP
A selection committee will review the nominations and select finalists, who will receive certificates of recognition, and the overall gifted youth and supporting adult winners, who will each receive a special award.
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms