Iowa City School's District Shine Award Nomination Form

The Iowa City Community School District Shine Award honors employees who go above and beyond for the students and schools in our community. Honorees positively influence, inspire, and leave a lasting impact in the work that they do every day, helping to fulfill the overall District mission. Nominations can be submitted by students, parents, District employees, businesses, or community members by completing the following nomination form. District employees will be selected and honored throughout the school year to receive this prestigious honor.

Information about you, the Nominator:

Please provide the following information about yourself so that we can follow up with any questions and also to notify you if your nominee is selected:

Nominator First Name:

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Nominator Last Name:

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Email:

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Phone Number:

###-###-####

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Information about the Nominee

Nominee First Name:

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Nominee Last Name:

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Nominee Position/Job:

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Nominee School/Building:

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Please describe why you feel the nominee should be recognized:

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