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Nominate a kid with character here

Describe in 75 words or less what your school or classroom has done in the past month that you think Chronicle readers would like to know about.
Please fill out the following information as it applies.

Student's Information

Student's Name:  
Student's Address:  
City/State: ZIP:
Student's School:  
Student's Phone:  
Grade: Age:
Teacher:  
Sibling Names/Ages:
Personal Qualities (Check all that apply):
Responsibility Trustworthiness Fairness
Caring Respect Citizenship

Nominator's Information

Nominator's Name:  
Nominator's Address:  
City/State: ZIP:
Nominator's Phone:  
Relationship to Student:  
Nominator's Email:  
Checking this box implies you have received permission from the parents or legal guardian to nominate this student and that you have also obtained permission to have the child's name, photo and story appear in The Chronicle-Telegram.
Student's Parent/s or Legal Guardian:  
Please explain in detail the qualities that prompted you to nominate this student.