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I am nominating my student(s) for:

MineralsEd Secondary Student Career Exploration Day at AME Roundup 2023 on Monday, January 22, 2024

Pronoun

Title

Last Name (Teacher)

First Name (Teacher)

Email (Teacher)

Personal Email (Teacher)

Some school districts have strong firewalls. Please include a personal e-mail as a backup.

School Name

School Street Address

City

Province

Postal Code

What grade(s) and subject(s) do you teach?

How many students are you nominating?

For each student nominated, please write their full names, grade level, subject of interest, allergies, and dietary restrictions.

Each student must complete and submit a Parent/Guardian Consent Form to participate in the event.

Find the Parent/Guardian Consent Form under "Important Notes" on this page, or contact info@mineralsed.ca.

I have read and understood. I am ready to submit my nomination form.

How did you hear about this event?