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student highlight submission
*
Indicates required field
STUDENT INFORMATION
Name
*
First
Last
Phone Number
*
Date of Birth (MM/DD/YYYY)
*
SCHOOL INFORMATION
School:
*
Exiting Grade Level:
*
Phone Number
*
Choose Any
*
Graduate
Honor Roll
School Acceptance
Scholarship
Other
Upload Your Photo
*
Max file size: 20MB
Add a photo of yourself or of your great accomplishment. All photographs will be screened prior to uploading on the website. Please note that any indecent photos/conduct will not be highlighted.
Tell us about it!
*
Now is your time to shine! Tell us about your great accomplishment this year. Let us know why you're proud!
SIGNATURES
I authorize permission for my child(ren) to be featured on this organization's web pages. By electronically signing and submitting this form; I consent to the use of my child's photo and story being shared.
*
First
Last
Disclaimer- Student submissions must be ages 11 to 18.
Phone Number
*
Email Address
*
Add your email to be advised when your highlighted has been featured.
Electronic Signature of Parent:
*
First
Last
All submissions require parental approval.
Today's Date: (MM/DD/YYYY)
*
Let Me Shine
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