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Building a Brighter Future:

Summit Utilities' Commitment to Community and Education through STEAM

Summit Utilities STEAM Student of the Month Application Form

Thank you for your interest in Summit’s STEAM Student of the Month initiative with THV11. Please fill out the following information to submit an outstanding student for consideration.

Nominee Information

Nominee Name (Individual or Program Name):

School, Organization, or Institution:

Please tell us about the nominee and their connection to STEAM (Science, Technology, Engineering, Arts, and Mathematics):

What makes this individual, program, or organization stand out in STEAM? Please share examples of their achievements, contributions, or impact.

Please share any additional information explaining why you are recommending this nominee:

How did you learn about this opportunity?

Your Name:

Your Relationship to Nominee:

Your Phone Number:

Your Email Address:

Media Release Consent:

By submitting this form, I hereby authorize THV11 and Summit Utilities to use my photo, video, and likeness for the purpose of promotion in news releases, photographs, video, audio, website, marketing, and advertising for an indefinite period of time.  

Please note that all participants filmed for the THV11 piece must submit a media release prior to production. 

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