Nominator Info	Nominator
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	School
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	City, State, Zip
Nominee Info	Name of Nominee
	Nominee's email address
	Subject Area Nominated For	Elementary Middle School High School
	Grades	K-6 Biology Physical Science Biological Science Chemistry Physics Earth Science
	Nominee's School
	Nominee's Phone Number
	Nominee's School Address
	City, State, Zip
	Please list, in 120 words or less, specific reasons for this nomination

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