Your Name:	 ____________________________________

SENIOR PICK FORM

Seniors may pick who they would like to hand them their diploma at Graduation.  (They MUST BE a current Staff Member: Teacher, Administrator,  Superintendent, Ast. Superintendent, BOE Member, Secretary, etc.).  (If the person is a Support Staff member – you will have to verify that they will attend Graduation.)

Use both the person’s first and last name.

_______________________________________

Their Location:  ___________________________
(ex., eSTEM, Encore, Board Office, etc.)

Please return completed form to Mrs. Nash in the eSTEM Academy office no later than Friday, March 6th.