Outstanding Educator Nominations
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Educator Nominations
1.
Name of Nominee (First & Last):
*
2.
Nominee's School:
*
3.
Award Category:
Elementary (K-5)
Middle School (6-8)
High School (9-12)
Building Administrator
4.
Your Relationship to Educator:
-- None --
Administrator
Co-worker
Parent
Student
Other
5.
If you responded "Other" to the item above, please define:
6.
Your Name:
*
7.
Your Phone Number:
8.
Your Email Address:
*
9.
Your Street Address:
10.
Your City and State:
11.
Your Postal / Zip Code:
12.
I verify that I am 13 Years of age or older.
*
Confirm
13.
This form should be:
-- None --
Shared with educator/nominee
Kept confidential
14.
Briefly describe why you have nominated the individual:
*
Done
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