Category - select one Arts & CreativityCommunity InvolvementCourageCultural AwarenessEnvironmentLeadershipPersonal Achievement

Division - select one Indiv Elementary (grades K-6)Indiv Middle (grades 7-8)Indiv Teen (grades 9-12)Adult Division

Information about the Nominee

First Name of Individual:

Last Name of Individual:

Address:

City: State: Zip:

Phone (day): (evening):

Age: Gender: FemaleMale Grade:

School: OtherMultiple Schools5 Mile PrairieAdams ElemAll Saints Catholic SchoolArcadia ElementaryArlington ElemAudubon ElemBalboa ElemBancroftBarker HighBemiss ElemBetz ElemBowdish Jr HiBrentwood ElemBroadway ElemBrowne ElemBryantCentennial Middle SchoolCentral Valley HighChase MiddleChattaroy PrimaryCheney HighCheney MiddleChester ElemColbert ElemContinuous Curriculum SchContract Based EdCooper ElemCrosswalkDeer Park ElemDeer Park HighDeer Park MiddleEast Farms ElemEast Valley HighEast Valley MiddleEvergreen ElemEvergreen Jr HiFarwell ElemFerris HighFinch ElemFranklin ElemFreeman ElemFreeman HighFreeman Middle SchoolGarfield ElemGarry MiddleGlover MiddleGonzaga PrepGrant ElemGreat Northern ElemGreenacres ElemGreenacres Jr HiHallett ElemHamblen ElemHavermale HighHolmes ElemHorizon Jr HiHutton ElemIndian Trail ElemJefferson ElemLakeside ElemLakeside HighLakeside MiddleLewis & Clark HighLiberty Elementary/Jr HiLiberty HighLiberty Lake ElemLidgerwood ElemLincoln Heights ElemLinwood ElemLogan ElemLongfellow ElemM.E.A.D. AlternativeMadison ElemMAPMcDonald ElemMead High SchoolMeadow Ridge ElemMedical Lake ElemMedical Lake HighMedical Lake MiddleMedicine Wheel AcademyMichael Anderson ElemMidway ElemMoran Prairie ElemMountain View MiddleMt Spokane High SchoolMullan Road ElemNess ElementaryNine Mile Falls ElemNorth Central HighNorth Pines Jr HiNorthwest ChristianNorthwood MiddleOpportunity ElemOrchard Center ElementaryOrchard Prairie ElemOtis OrchardsPasadena Park ElementaryPonderosa ElemPrairie ViewProgress ElemREALRegal ElemRidgeview ElemRiverCity Leadership AcademyRiverside HighRiverside Leadership AcadRiverside MiddleRiverside PrimaryRogers HighRoosevelt ElemSacajawea MiddleSaint George's SchoolSalk MiddleSalnave ElemSeth Woodard ElementaryShadle HighShaw MiddleSheridan ElemShiloh Hills ElemSkills CenterSkyview ElementarySouth Pines ElemSpokane Valley High SchoolSpokane Valley Learn AcadStevens ElemSummit SchoolSummit SchoolSunrise ElemSunset ElemTamarackThe BridgeThe Oaks AcademyThree Springs High SchoolTrent ElemTrentwood ElemUniversity ElemUniversity HighWest Valley CityWest Valley High SchoolWestview ElemWhitman ElemWillard ElemWilson ElemWindsor ElemWoodridge Elem

District: Central Valley - #356Cheney - #360Deer Park - #414East Valley - #361Freeman - #358Great Northern - #312Liberty #362Mead #354Medical Lake #326Nine Mile Falls #325Orchard Prairie #123Riverside #416Spokane #81West Valley #363Other

Information about the Nominator

First Name:

Last Name:

Address:

City: State: Zip:

Phone (day): (evening):

Email:

Affiliated with:

Reference For Nomination Verification

Please do not list anyone less than 21 years of age as nomination verifiers. Examples of acceptable verifiers are: parent, teacher, counselor, principal, etc.

Reference #1
First Name:

Last Name:

Phone (day): (evening):

Reference #2
First Name:

Last Name:

Phone (day): (evening):

Nominations will need to be verified by February 22nd. Any nomination not verified by February 22nd will not be eligible for an award.