SENG Honor Roll Nomination Form

SENG is an independent, non-profit 501(c)(3) corporation. Please join with us in our work to increase understanding, knowledge, and services for gifted children and adults. We have made tremendous strides and have had a positive impact on thousands of gifted children and their families but we cannot continue indefinitely without donations from people like you. Learn more about our history and where we’re going before you make your decision to support us!All nominations are fully tax-deductible.

To make a nomination, simply fill out the form below and submit it with your credit card information via our secure server, or print it out and mail it with your check or credit card information. You will promptly receive an acknowledgement of your nomination which will serve as your receipt for your tax deductible donation. You will also be recognized in our conference program. All nominees will be listed on our SENG Honor Roll and in our conference program.

I wish to nominate the following educator to the SENG Honor Roll and support the emotional needs of the gifted. I am submitting my contribution as authorized below. I understand the minimum contribution to nominate an educator is $50.00 USD.

Please complete a separate form for each nomination.

Name (of person making the nomination)

Street Address

City

State

Zip Code

Country

Cell_phone

Name of Honoree

Name of School/Organization

School Address

City/State/Zip

School Telephone

School Email

School Website

Please tell us how this nominee has helped a gifted child:

Please choose your preferred payment option from the dropdown list

I understand the minimum fee is $50 per nomination. Please indicate the amount you would like to contribute

Name on Credit Card

Name must match the name on the credit card.

My billing address is the same as my mailing address.

Billing Street Address

Billing City/State/Zip

Billing Telephone

Choose your credit card from the dropdown list

Credit Card Number

Expiration Date

3-digit security code (on reverse side of the card)

If you would like SENG to send a certificate to the school's Board of Education for presentation to the Honoree, please check here and complete the information below: Yes! Please mail a certificate.

Note: This is optional.

School District Name

School District Contact Name

School District Street Address

School District City/State/Zip

District Website