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Do you know a teacher who is worthy of the “Barrick Gold Teacher of the Month”?

Nominate them today for the Golden Apple Award and they could be featured on KOLO8 News Now and receive a $100 gift card to help buy supplies for the classroom. Nominate the person you think deserves this months award in 500 words or less.

Brought to you by Barrick Gold, people who believe Nevada can only succeed if we let Kids Shine through education. Barrick Gold. Let Kids Shine

1.Nominee Name & Contact Information
First Name* M.I. Last Name*

Email Address* Daytime Phone* Evening Phone
2.Nominee School Information
School*
Grade*
3.Is the Nominee over 18 years old?*
Yes
No
4.Nominee Guardian Contact Information (If Under 18)
First Name M.I. Last Name

Email Address Daytime Phone Evening Phone
5.Will the Nominee be available for an interview?*
Yes
No
6.Nominator Name & Contact Information
First Name* M.I. Last Name*

Email Address* Daytime Phone* Evening Phone
7.Is the Nominator over 18 years old?*
Yes
No
8.Nominator Guardian Contact Information (If Under 18)
First Name M.I. Last Name

Email Address Daytime Phone Evening Phone
9.Relation to the nominee:
10.Why your nominee should be selected (500 words or less)*
11.Please enter your date of birth.
Month* Day* Year*
12.Terms and Conditions
I have read, understand, and agree to the Website usage agreement and privacy policy.
* represents required fields
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