2011 Kansas Yes I Can - Nomination Form
Some Internet servers do not allow processing of this form. If you encounter any difficulties, please just send your nomination info to Joy Fuqua, Kansas CEC President, at joy.fuqua1@gmail.com , or call Joy at 620-227-9383. Thank you!
Your Name
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Your e-mail address
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Complete name of nominee
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Please explain why this student is deserving of recognition for his or her efforts and accomplishments.
SAMPLE: "I want to nominate Maria Cardenas, age 14, in the category of self-advocacy because she uses self advocacy skills continually, for example.."
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Please select ONE (1) category for this nomination
Academics
Arts
Athletics
Community Service
Employment
Extracurricular Activities
Independent Living Skills
Self-Advocacy
Technology
Names of Parent(s) or Caregiver(s)
Name and Complete Contact Info for School Principal
I hope to attend the Kansas CEC annual awards luncheon in Topeka on October 1, 2011. Please send me registration information.
Yes
No
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