1.Name of Nominee:
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2.Grade Level:
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3.School:
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4.School District:
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5.Principal:
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6.Name of Nominator:
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7.Relationship:
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8.Phone Number:
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9.Explanation:

Explain in detail what the nominee has done to demonstrate leadership on his/her campus or in his/her community. Include detail descriptions explaining why his/her actions have been inspirational and how he/she demonstrated initiative and integrity. Describe the impact his/her actions have had on his/her school/community/family and any obstacles or challenges faced and overcome along the way. (Limit to 200 - 250 words.)*