EdgeUCoin Student Nomination Form

Earn My Reward - EdgeUCoin Nomination Form

Thank you for your interest in nominating a student to participate in the EdgeUCoin program. Please provide the following information to help us understand the student's eligibility and potential for success in the program. Your input is valuable in empowering and recognizing student achievements. All information provided will be kept confidential.

Your nomination will be carefully considered, and we will reach out to you or the student's parent/guardian if additional information is required. If the student is selected for the program, we will notify you and provide further instructions.

For any inquiries or assistance, please contact us at info@edgeucoin.org.

Note:  This form is for the sole purpose of student nomination and does not guarantee participation in the EdgeUCoin program.

Student's Full Name

Student's Grade Level

Student's School Name

Student's Email Address

Student's Phone Number

Parent/Guardian Full Name (if applicable)

Nominator's Full Name

Nominator's Role

Nominator's Relationship to Student (if applicable)

Nominator's Email Address

Nominator's Phone Number

Please provide a brief description of why you are nominating this student to participate in the EdgeUCoin program. Include their achievements, strengths, and any other relevant information that highlights their potential for growth and success. (Max 200 words)

By submitting this form, I confirm that I have obtained necessary consent from the student's parent/guardian (if applicable) and authorize EdgeUCoin to collect and process the provided information for the purpose of program nomination and communication.

How did you hear about the EdgeUCoin Rewards Program?

Earn My Reward - EdgeUCoin Nomination Form

Thank you for submitting your nomination.

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