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Teacher's full name: *
Grades teacher has taught:
How many years taught?
Is he or she still teaching? *
If still teaching, give name of the school that he or she is teaching in:
Schools this teacher has taught in:
If married, what is spouse's name?
Reason(s) why this teacher is so special: *
List any other thoughts, facts, stories or memories you might wish to include in your gift of poetry for this teacher:
Special events this teacher was involved in:
Is this poem from an individual or a group and if from group, names to be added to the poem? *
Activities teacher enjoys:
Teacher's interests, hobbies and talents:
Was this teacher also a coach and if so, of what sport(s)?
Special things, activities or events that took place in the classroom:
Names, ages, and sexes of your fiancee's children, if applicable:
If married, do you want spouse mentioned in poem?
Additional comments, notes or instructions that you would like our writers to consider in creating your gift of poetry: *
Humorous incidents that took place in this teacher's classroom:
Describe your relationship with this teacher:
Special moments shared between you and this teacher:
Is he or she married?
Your relationship to
poetry recipient: *
Your full name: *
Your mailing address: *
Daytime phone number and best time to call: *
Evening phone number and best time to call: *
Special instructions or comments and date poem is needed: *
* Denotes required field.
Provide us with the requested information about yourself.
Then complete the poetry information request form below as you are able. Remember, the more detailed the information you provide, the more personal and unique the gift.
Your email address: *
* Denotes required field
Teacher's physical traits (e.g., tall, hair color, eye color, strong, handsome, cute, intelligent, witty, talented, etc.): *
Teacher's character traits (e.g., supportive, loving, kind, thoughtful, caring, dedicated, nurturing, unselfish, etc.): *
If still teaching, what grade?
"special words for special people"
