Champion Recognition Nomination Form

Nominate a Champion Today

We’re looking to share positive stories about your Fuel Up successes!

To celebrate anyone in your school community who helps children access healthy foods or stay physically active.

Rewards and recognition will be provided throughout the year on a rolling basis, so nominations are accepted at any time.

Students, educators, coaches, parents, school nutrition directors, bus drivers, social workers, you name it! Here are just a few examples:

A student who volunteered to distribute food to families during the pandemic
School Nutrition Directors who delivered meals to students studying remotely
Coaches who made workout videos for student-athletes while sports were on hiatus
Parents who posted online healthy cooking demos for other parents
Anyone who you think deserves a “Thank You!”

To share your story on our website and social media, we need photos! Please complete all fields so we may contact you if your story is chosen.

Submitter's First Name *

Submitter's Last Name *

Submitter Email *

Submitter Phone *

Cell

Home

Office

School *

District *

Title *

Relationship to Nominee *

Nominee First Name *

Nominee Last Name *

Nominee Email *

Grade or Job Title *

School *

School District *

Please check which of the following this nomination or success story relates to *

Healthy Eating/Nutrition

Physical Activity

Both

Describe the nominee’s accomplishments *

Please attach up to 3 relevant photos of the nominee in action *

Image 2

Image 3