Feature Me as a Student

    Would you like to be featured on our website or do you know a deserving student who could use a pat on the back? At Inspire 111, we love to reward students for their accomplishments! Fill out the form below for a chance to be featured as a student on our website. You may fill out the form for yourself or to recognize someone else. However, you will need to have your student with you to answer some of the interview questions on the form and to obtain permission for submission.

    If chosen, featured students will be recognized on our website. We will provide our current featured student with a special promo code to be distributed to friends, family members, teammates, teachers, and community members. All orders placed via our website using the special promo code will help this deserving student earn Inspire 111 gift certificates. At the close of the featured period, we will present the student with a $10 gift certificate for the first order placed via our website using his or her special promo code. We will also present the student with additional $10 gift certificates for each order of $50 or more placed during the promotional period. Featured students can earn unlimited gift certificates for Inspire 111 tees and apparel!

    And yes, students can be featured once per year, so it’s ok to keep submitting all of those awesome achievements both inside and outside the classroom. We love to see young people doing great things!

 

NAME: 

AGE AND GRADE LEVEL: 

MAILING ADDRESS: 

PHONE 

EMAIL: 

 

SCHOOL: 

FAVORITE SUBJECTS / TOPICS: 

ACHIEVEMENTS: 

 

EXTRACURRICULAR ACTIVITIES: 

 

HOW DO YOU INSPIRE OTHERS? 

 

WHO INSPIRES YOU? WHY?: 

 

YOUR BEST ADVICE TO OTHER STUDENTS: 

 

PLEASE UPLOAD SIX LANDSCAPE ORIENTED PHOTOS OF YOU:

 

We would love some photos of you wearing Inspire 111 apparel although this is not required. Be sure that your photos are of you alone due to permission for usage. By submitting photos, the user agrees to allow Inspire 111 to use them and the contents of this form on our website, social media pages, and in other promotional publications. The user certifies that he or she is over 18 years old or that his or her parent or guardian has approved the submission of this form, its contents, and photos for use as described by Inspire 111.

 

Contact

 Address: 1818 Washington Blvd., Ste A
           Belpre, OH  45714

 Phone: (740) 236-3368
         

 Email: sales@shopinspire111.com