<% ' FP_ASP ASP Automatically generated by a Frontpage Component. Do not Edit. On Error Resume Next Session("FP_OldCodePage") = Session.CodePage Session("FP_OldLCID") = Session.LCID Session.CodePage = 1252 Session.LCID = 1033 Err.Clear strErrorUrl = "" If Request.ServerVariables("REQUEST_METHOD") = "POST" Then If Request.Form("VTI-GROUP") = "0" Then Err.Clear Set fp_conn = Server.CreateObject("ADODB.Connection") FP_DumpError strErrorUrl, "Cannot create connection" Set fp_rs = Server.CreateObject("ADODB.Recordset") FP_DumpError strErrorUrl, "Cannot create record set" fp_conn.Open Application("Nomination2003_ConnectionString") FP_DumpError strErrorUrl, "Cannot open database" fp_rs.Open "Results", fp_conn, 1, 3, 2 ' adOpenKeySet, adLockOptimistic, adCmdTable FP_DumpError strErrorUrl, "Cannot open record set" fp_rs.AddNew FP_DumpError strErrorUrl, "Cannot add new record set to the database" Dim arFormFields0(24) Dim arFormDBFields0(24) Dim arFormValues0(24) arFormFields0(0) = "NomineeQualities" arFormDBFields0(0) = "NomineeQualities" arFormValues0(0) = Request("NomineeQualities") arFormFields0(1) = "NomineeAddress" arFormDBFields0(1) = "NomineeAddress" arFormValues0(1) = Request("NomineeAddress") arFormFields0(2) = "RecommendedByEmail" arFormDBFields0(2) = "RecommendedByEmail" arFormValues0(2) = Request("RecommendedByEmail") arFormFields0(3) = "NomineeNames" arFormDBFields0(3) = "NomineeNames" arFormValues0(3) = Request("NomineeNames") arFormFields0(4) = "RecommendedByPhone" arFormDBFields0(4) = "RecommendedByPhone" arFormValues0(4) = Request("RecommendedByPhone") arFormFields0(5) = "NomCityStZip" arFormDBFields0(5) = "NomCityStZip" arFormValues0(5) = Request("NomCityStZip") arFormFields0(6) = "YearsMarried" arFormDBFields0(6) = "YearsMarried" arFormValues0(6) = Request("YearsMarried") arFormFields0(7) = "BriefIntro" arFormDBFields0(7) = "BriefIntro" arFormValues0(7) = Request("BriefIntro") arFormFields0(8) = "Child1" arFormDBFields0(8) = "Child1" arFormValues0(8) = Request("Child1") arFormFields0(9) = "Child2" arFormDBFields0(9) = "Child2" arFormValues0(9) = Request("Child2") arFormFields0(10) = "RecommendedByAdress" arFormDBFields0(10) = "RecommendedByAdress" arFormValues0(10) = Request("RecommendedByAdress") arFormFields0(11) = "Child3" arFormDBFields0(11) = "Child3" arFormValues0(11) = Request("Child3") arFormFields0(12) = "NumChildren" arFormDBFields0(12) = "NumChildren" arFormValues0(12) = Request("NumChildren") arFormFields0(13) = "Child4" arFormDBFields0(13) = "Child4" arFormValues0(13) = Request("Child4") arFormFields0(14) = "Child5" arFormDBFields0(14) = "Child5" arFormValues0(14) = Request("Child5") arFormFields0(15) = "Relation2Nom" arFormDBFields0(15) = "Relation2Nom" arFormValues0(15) = Request("Relation2Nom") arFormFields0(16) = "CommunityContrib" arFormDBFields0(16) = "CommunityContrib" arFormValues0(16) = Request("CommunityContrib") arFormFields0(17) = "Outstanding" arFormDBFields0(17) = "Outstanding" arFormValues0(17) = Request("Outstanding") arFormFields0(18) = "NomineeEmail" arFormDBFields0(18) = "NomineeEmail" arFormValues0(18) = Request("NomineeEmail") arFormFields0(19) = "Child6" arFormDBFields0(19) = "Child6" arFormValues0(19) = Request("Child6") arFormFields0(20) = "NomineePhone" arFormDBFields0(20) = "NomineePhone" arFormValues0(20) = Request("NomineePhone") arFormFields0(21) = "RecommendorCityStZip" arFormDBFields0(21) = "RecommendorCityStZip" arFormValues0(21) = Request("RecommendorCityStZip") arFormFields0(22) = "FaithExample" arFormDBFields0(22) = "FaithExample" arFormValues0(22) = Request("FaithExample") arFormFields0(23) = "RecommendedBy" arFormDBFields0(23) = "RecommendedBy" arFormValues0(23) = Request("RecommendedBy") FP_SaveFormFields fp_rs, arFormFields0, arFormDBFields0 If Request.ServerVariables("REMOTE_HOST") <> "" Then FP_SaveFieldToDB fp_rs, Request.ServerVariables("REMOTE_HOST"), "Remote_computer_name" End If If Request.ServerVariables("HTTP_USER_AGENT") <> "" Then FP_SaveFieldToDB fp_rs, Request.ServerVariables("HTTP_USER_AGENT"), "Browser_type" End If FP_SaveFieldToDB fp_rs, Now, "Timestamp" If Request.ServerVariables("REMOTE_USER") <> "" Then FP_SaveFieldToDB fp_rs, Request.ServerVariables("REMOTE_USER"), "User_name" End If fp_rs.Update FP_DumpError strErrorUrl, "Cannot update the database" fp_rs.Close fp_conn.Close Session("FP_SavedFields")=arFormFields0 Session("FP_SavedValues")=arFormValues0 Session.CodePage = Session("FP_OldCodePage") Session.LCID = Session("FP_OldLCID") Response.Redirect "thanks.htm" End If End If Session.CodePage = Session("FP_OldCodePage") Session.LCID = Session("FP_OldLCID") %> Nominations Form for Parents of the Year

Nomination Form
Home Award Criteria Parents of the Year Nomination Form Parents' Day Publications

You can submit a nomination either using the web form below, or by downloading the nomination form
in Word format
here (right click the link and choose "Save Target As".)

Use the following form to nominate outstanding parents for "Parents of the Year".

 Please complete the form, then click the "Submit" button.

Name of Nominees: 
Nominees Address:   
Nominees City/State/Zip: 
Phone/Fax:       Email address: 
Number of years married:      Number of children:
Names and ages of children:
   1.      2.      3. 
   4.      5.      6. 

Nominated by:  (your name)
Your address:    City/State/Zip 
Phone:      Email address: 
Relationship to Nominees: 

Please respond to each of the following in a complete but concise way:
1. Write a brief introduction providing basic information about the nominated parents and their family.
2.  Share examples of integrity, compassion, commitment, or sacrificial devotion that the nominees embody as parents.
3.  Explain how the nominees are involved in their community or in what way they have influenced the lives of children.
4.  How are these parents strengthened by their faith, or how have they set a moral example for young people?
5.  What makes this couple shine above the ordinary?  Or what struggles have they overcome in their role as parents?

The National Parents' Day Council office may contact you for additional information, including a digital photo of the nominated parents, and other supportive materials.

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