Contact Us

Please complete the form below

Teacher Information

Teacher Name (Example: Mrs. Johnson)

Email

City

Phone

Address

ZIP

Eligibility Verification

Plese mark yes or no to the following. To be eligible for the Gold Star Award for Outstanding Teaching you must answer "yes" to all of the above questions.

Are you a teacher (i.e. not an administrator, not a substitute, typically working from a "teacher" contract)?

Yes

No

Do you currently hold a teaching license (or a professional license for school counselors and librarians)?

Yes

No

Do you work in a Pre-K through 12 classroom at a school approved by the Iowa Department of Education in Black Hawk County?

Yes

No

Do you affirm that you are NOT a relative of employees of the McElroy Trust, KWWL, and the Gold Star Award Committee?

Yes

No