Teacher Support Gift Nomination Form:

Teacher Support Nomination

We are so excited to partner with teachers in our community who love the kids and youth of Colorado Springs and pour out their personal resources to make school the best possible experience each and every day. These teacher gifts will hopefully supply their classrooms with additional supplies or a special project, new books or furniture, etc.

"*" indicates required fields

Teacher's Name:*

First Last

Teacher's Email:*

Teacher's Phone:*

Teacher's Mailing Address:

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

leave blank if you do not know address:

School:*

Grade Taught:*

This Teacher is being nominated by:*

Your Email:*

Fill out the following below:

I would like to remain anonymous to the teacher.

I have approached this teacher personally and they had an immediate need for this gift.

Self-Nomination – We are so thankful for how you serve kids in our community!

Tell us a little about how the gift would be used and what needs it would meet (if you are nominating a teacher, we understand that you might not know exactly how the gift will be used.)*

If selected to receive this special support, the teacher will be contacted, and gifts will be issued by check to the teacher individually. Checks can either be mailed to the address submitted above, or arrangements for pickup at Pulpit Rock Church can be made.*

Teacher Support Nomination

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