Policies for Pencils

Nominate a Classroom

Nominated Classroom

Name of School ✶

Name of Classroom’s Teacher ✶

Grade ✶

Address of School ✶

Contact Name at School

(if different than teacher)

Where/who to deliver supplies (i.e. front office, etc) ✶

What specifically does this classroom need? ✶

Snacks, pencils, crayons, cleaning supplies, books, etc. Please be as specific as possible.

Your Contact Information

Name ✶

Email ✶

Phone ✶

Would you like to share why you believe this classroom should be chosen?

This information may be used in a social media post if your nomination is chosen. All nominations are chosen by random selection.

Are you following us on Facebook and/or Instagram? ✶

Yes

I am willing to receive the supplies & deliver them to the teacher if needed. ✶

Yes

I agree that if my nomination is selected as winner to share the social media announcing the win, to help spread the word to others who can benefit from this program. ✶

Can Davidson & Associates Insurance communicate with you via text message? ✶

Yes, OK to text me

No, do not text me

Subject

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