Civic Leaders Nomination Form

The following form is to be completed by an authorized school official no later than Friday, March 27, 2026.

If you do not see your school or have questions about the nomination form, please contact Erin Stevenson at [email protected] or 401-330-3182. Once you submit the form, you will receive a notification message. If you do not see the notification message, please submit the form again. 

Official Information

* School Name

Please Select 360 High School Achievement First Providence High School A-Venture Academy Barrington Christian Academy Barrington High School Beacon Charter School High School for the Arts Bishop Hendricken High School Blackstone Academy Charter School Blackstone Valley Prep High School Block Island School Burrillville High School Central Falls Senior High School Central High School Charette Charter School Chariho Alternative Learning Academy Chariho Area Career and Technical Center Chariho Regional High School Charles E. Shea High School Classical High School Coventry High School Cranston Area Career Technical Center Cranston High School East Cranston High School West Cumberland High School DCYF Alternative Education Program Dr. Jorge Alvarez High School East Bay Educational Collaborative East Greenwich High School East Providence Career & Technical Center East Providence High School E-Cubed Academy Exeter-West Greenwich Regional High School Harmony Hill School Highlander Charter School Hillside Alternative Program Hope High School Islamic School of RI Jacqueline M. Walsh School for the Performing & Visual Arts Johnston Senior High School La Salle Academy Lincoln School Lincoln Senior High School Meeting Street School Middlebridge School Middletown High School Moses Brown School Mount Pleasant High School Mount St. Charles Academy Mt. Hope High School Narragansett High School NEL/CPS Construction Career Academy Newport Area Career and Technical Center North Kingstown Senior High School North Providence High School North Smithfield High School Northern RI Collaborative Ocean Tides School Overbrook Academy Paul Cuffee Upper School Pilgrim High School Ponaganset High School Portsmouth Abbey School Portsmouth High School Providence Career and Technical Academy Providence Country Day School Providence Hebrew Day/N.E. Academy of Torah Providence Preparatory Charter School Rhode Island School for the Deaf RI Nurses Institute Middle College Charter High School Rocky Hill School Rogers High School School One Scituate High School Sheila Skip Nowell Leadership Academy Smithfield Senior High School South Kingstown High School St. Andrew's School St. George's School St. Mary Academy-Bay View St. Patrick School St. Raphael Academy The Greene School The Metropolitan Regional Career & Technical Center The Prout School The Regional Career and Technical Center at Coventry HS The Tides School - Pawtucket The Wheeler School Thompson Middle School Times2 Academy Tiverton High School Toll Gate High School Trinity Academy for the Performing Arts Trinity Christian Academy Village Green Virtual Charter School Warwick Area Career and Technical Center West Bay Collaborative West Warwick Senior High School Westerly High School William B. Cooley, Sr. High School/Prov. Academy of International Studies High School William E Tolman Senior High School Wm. M. Davies Jr. Career-Technical High School Woonsocket Area Career & Technical Center Woonsocket High School YouthBuild Preparatory Academy School

* Official's First Name

* Official's Last Name

* Official's Title

* Phone

* Email

Nominee 1

* First Name

* Last Name

* Street Address

* City

* ZIP

* Email

Reason for nominating (optional)

Nominee 2

* First Name

* Last Name

* Street Address

* City

* ZIP

* Email

Reason for nominating (optional)