T.E.A.C.H.Early Childhood® Alliance
Submission Form
Paying it Forward


Your Name


City & State

Your Email



In 300 words or less, describe what activities you have used to pay it forward. In what type of leadership activities have you participated? What have you done to support others? How else have you paid it forward?

Do we have permission to share your story?

Would you be interested in networking with other recipients that are also working to pay it forward?

Date of submission

Electronic Signature(your name)


To print out a form to mail in, click here.