Star Students Submission Form

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The QC Town Council is proud to recognize students who demonstrate good citizenship by showing integrity, kindness and respect. Being helpful and considerate of others, promoting tolerance, acceptance and anti-bullying and being responsible for your own actions are examples of a Star Student.

HOW IT WORKS

Educators identify one student from their school* to be recognized per school year, coordinating with their school administrator to avoid duplication and confusion.
Schools submit student information via the online submission form by Monday, Jan. 13, 2025.
Schools and guardians are notified via email of the recognition and ceremony details.
Students are recognized by the QC Town Council and presented with a certificate during a Town Council meeting in March, April or May.

*Schools located in Queen Creek are invited to submit one student per school, per year.

For questions or information, please call Amber at 480-358-3194 or email amber.gough@queencreekaz.gov.

Please correct the fields below:

Please correct the field(s) marked in red below:

Submitter's Name

Please initial below that you have been authorized to submit on behalf of your school. Please note we are asking school faculty to submit one student per year.

Initial Here

Student Name

Student Name for Printed Certificate (if it differs from nickname shown above)

Student Name Pronunciation:

Student Grade Level

Choose your school from the list below

Teacher Comments - please share insight as to why this student should receive this award.

Highlight good citizenship, actions to help and interact positively with others, showing integrity, kindness or respect for others. Consider recognizing students who do not often receive awards, but who deserve to be recognized for improvement and positive interaction in the classroom.

(Text limited to 75 words)

Teacher Comments - please share insight as to why this student should receive this award. Highlight good citizenship, actions to help and interact positively with others, showing integrity, kindness or respect for others. Consider recognizing students who do not often receive awards, but who deserve to be recognized for improvement and positive interaction in the classroom. (Text limited to 75 words)

Please type teacher's name

Please type school principal's name

School Contact Name for notification purposes

School Email Address for notification purposes

Guardian Contact Name for notification purposes

Guardian Email Address for notification purposes

Are there any accommodations necessary?

Hearing or Sight Accommodations

Needs Language Translation

Physical Accommodations (wheelchair, crutches, etc.)

Other If other, type text here.

To receive a copy of your submission, please fill out your email address below and submit.
Email Address

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