Do the Right Thing Submission

Student First Name*

Enter the student's First Name ONLY

Student Last Name*

Enter the student's Last Name ONLY

Parent's Full Name*

Student Address*

Street Address Apt City State / Province / Region ZIP / Postal Code

Grade Level*

School Counselor (If Known)

School District List*

Cheektowaga Central Schools
Cheektowaga Sloan Schools
Cleveland Hill Schools
Maryvale Schools
Other Districts and Specialty Schools

Cheektowaga Central Schools*

Cheektowaga Sloan Schools*

Cleveland Hill Schools*

Maryvale Schools*

Other Districts and Specialty Schools*

Name of Person Making Nomination*

First Last

Email for Person Making Nomination*

Relationship to Nominee*

Teacher
School Administrator
Family Member
Community Member

Parent's Phone Number*

Is this accomplishment a result of School Required Community Service?*

Many schools require students to participate in community programs as part of the curriculum. Is this nomination based on activity that was part of required community service or was it separate from a school program or requirement?

Yes
No

Submission Narrative*

Please use this section to enter your explanation as to what the student has done and why they are being nominated for the Do the Right Thing Award.

Name

This field is for validation purposes and should be left unchanged.