EmailMe Form - 2021 Drive for Excellence Entry Registration

Name *

First Last

Email *

Please provide a valid email address. If you do not provide a valid email address you will not receive important Drive for Excellence announcements and reminders.

Confirm Email

Primary Phone # *

### - ### - ####

Secondary Phone # *

### - ### - ####

Address: *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Date of Birth

You must be 16 years old at the time report cards are due on July 15, 2021.

Date of Birth

You must be 16 years old at the time of the drawing on May 16, 2021 at 10am.

Month *

Day *

Year: *

Entry Information

High School *

If Not Listed, Name of HS

Year in School *

HS Senior (Class of 2021)

HS Junior (Class of 2022)

Guidance Counselor Information

Guidance Counselor Name *

Email

Phone

### - ### - ####

What marking periods are you registering for?

(You may register grades for 2 semesters or all four marking periods that end prior to the report card submission deadline of , TBD, as long as those grades appear on your official report card and that report card has been submitted by the deadline.)

What marking periods are you registering for?

(You may register grades for 2 semesters or four quarters of marking periods that end prior to the report card submission deadline of Monday, TBD, as long as those grades appear on your official report card and that report card has been submitted by the deadline.)

Please check all that apply *

1st Marking Period

2nd Marking Period

3rd Marking Period

4th Marking Period

High school has only two semesters.

Yes

*If your school has only two marking periods (semester grades only) please enter your first-semester grades into the 1st Marking Period section only.

If your high school uses either a numeric or Proficiency-Based grading system please note that entries will be awarded according to the following scales:

Numeric:
90% and higher = A (two entries)
80%-89.99% = B (one entry)

Proficiency-Based:
4.0 and higher, or “Exemplary” = A (two entries)
3.5-3.9 or “Partially Exemplary” = A (two entries)
3.0-3.4 or “Proficient” = B (one entry)

*If your school has transitioned to the Proficiency-Based Learning system and is using an alternative grading scale than the one listed above, please ask your Guidance Counselor send a school-issued document containing this scale to d4e@burlingtoncars.com for verification.

1st Marking Period Grades

Any misrepresentation of grades will result in immediate disqualification of this year's Drive for Excellence.

1st Marking Period Grades

Any misrepresentation of grades will result in immediate disqualification of this year's Drive for Excellence.

1st Marking Period # of A's *

1st Marking Period # of B's *

2nd Marking Period Grades

Any misrepresentation of grades will result in immediate disqualification of this year's Drive for Excellence.

If you have NOT yet received 2nd marking period grades yet please enter '0'

2nd Marking Period # of A's *

2nd Marking Period # of B's *

3rd Marking Period Grades

Any misrepresentation of grades will result in immediate disqualification of this year's Drive for Excellence.

If you have NOT yet received 3rd marking period grades yet please enter '0'

3rd Marking Period # of A's *

3rd Marking Period # of B's *

4th Marking Period Grades

Any misrepresentation of grades will result in immediate disqualification of this year's Drive for Excellence.

4th Marking Period # of A's *

4th Marking Period # of B's *

Submitting Your Report Card (Progress Reports Will NOT Be Accepted)

There are 3 options for submitting your report cards. Once submitted the Drive for Excellence Program Director reserves the right to contact school officials to verify report card accuracy. Any misrepresentation of grades will result in immediate disqualification of this year's Drive for Excellence.

All report cards must be received by the close of business on TBD. NO EXCEPTIONS

Options: *

I will be mailing my report card

I will drop off at Burlington Subaru

HS Guidance Counselor will email

HS Guidance Counselor will FAX

All report cards must be received by the close of business (TBD) NO EXCEPTIONS.

If mailing, please address the envelope to:
ATTN: Drive for Excellence
Burlington Subaru Hyundai
333 Shelburne Road
Burlington, VT 05401

If emailing, please send attachment to:
d4e@burlingtoncars.com

If faxing, please fax to:
(802) 660-3400 with ATTN: Drive for Excellence

If You're a Finalist!

For the lucky 75 who will have a chance to win a new car!

What Size T-Shirt? *

There will only be 75 t-shirts made (one for each finalist). You will not be able to change sizes, all sizes are unisex sizing.

Students do not have to be present during the first week of TBD at 10am in order to win. *

Students do not have to be present to win the 2021 Drive for Excellence contest.

A Few Last Questions

Just a few quick questions to help us continue to improve the Drive for Excellence program.

How Did You Hear About the Drive for Excellence? *

Any Suggestions or Comments?

I agree to the terms and conditions listed online at
http://www.burlingtoncars.com/drive-for-excellence-terms-and-conditions.htm *

Yes, I Agree