10/11 Golden Apple Submission Form
Nominate your favorite educator to be the 10/11 Golden Apple of the Month.

The 10/11 Golden Apple Award is given each month of the school year to an educator having a outstanding impact in our local schools. We want to hear about a teacher, administrator, or support staff member who deserves recognition for the positive effect they’ve had on you, your loved ones, or your community.

10/11 Golden Apple Award winners are nominated by YOU using the form below. A winner will be chosen each month by a panel of 10/11 employees, together with a representative from the segment sponsor, Doane University College of Education.

Educators who work with grades K-12 in the 10/11 designated market area are eligible. Winners will be announced in the 10 p.m. news on the last Wednesday of each month and 1011now.com during the school year.

All entries received after the 15th of the month will be considered for the next month's award.

Your name
Your answer
Your phone number
Your answer
Educator's name
Your answer
Educator's School and Position
Your answer
City where school is located
Your answer
Your relationship to educator (student, parent, principal, etc.)
Your answer
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