Student Rep Program Nomination Form

Nominations can be submitted by Educators, Administrators, Counselors, Corporations, Non-Profits and Community Members.  Only students from the ages of 9yrs. old to 18yrs. old may be submitted for nomination to the program. After submitting your nomination, you will receive a confirmation email containing a link to schedule a brief qualifying interview with you and your nominee. Following the interview process, there will be no further obligation for you. Unless you choose to stay involved, we’ll take it from there.

Nominee Information

Required Fields *

Age? * Grade Level? *
State/Province? *
Include contact info for Nominee's Parent/Guardian:

Nominator Information

Who is Nominating the Student? *
I am *

Please provide the best Nominator Contact Info below to ensure we may follow up with you! *

Reason for Nomination? *

Be Strong’s Student Reps are young change agents in small towns and big cities across the country. They are the frontline of kindness and inclusion, impacting their communities in big ways. Together, we engage through acts of kindness, advocacy, awareness, inclusion & resilience education.

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