We here at Kozlowski Depascale Orthodontics understand that without the enduring encouragement, passion for education, patience, and creativity of our teachers, coaches, and mentors, we wouldn’t be where we are today.

These attributes make us smile, and we know they make you smile too. That’s why we want to take the opportunity to recognize teachers, coaches, and mentors for their positive impact on our lives! As a student, you can show your teachers, coaches, and mentors your appreciation for all they have done over the past year by nominating one (or more!) for our annual Appreciation Award.

Fill out the form below (or send us an email) to nominate your teacher, coach, or mentor. Include their story, what you admire about them, and how they’ve impacted your life. If you have multiple teachers, coaches, or mentors you’d like to nominate, just fill out a new form!

Who's eligible to win

• Teachers, Coaches, and Mentors
• Who's eligible to win: Patients and non-patients

Entry methods

• Paper form in-office
• Online form

The winning student will receive their choice of one of the following:

• $200 Amazon Gift Card per teacher
• $100 Amazon Gift Card per entry winner