Surry County Schools Leader of the Month (Nomination Form)
Eligibility: Any full-time or part-time employee of the Surry County Schools may be nominated. All nominations must be received by the 15th day of the nomination month.  Any nominations received after the 15th day of the month will be considered in the next month. Each nomination will be considered once in the month it is submitted, so feel free to nominate again each month.
Suggested Guidelines for Nomination:
Employee must demonstrate excellence in his/her job.
Employee must demonstrate an attitude of "collaboration" and "teamwork!"
Employee must have made a significant contribution to the school, district, students, employees or community.
Employee must enthusiastically support the mission of the Surry County Schools.

Winners will be recognized at the Board of Education Meeting!
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Name of the Employee to be Nominated: *
Please nominate only one employee per form
Employee's Job Title: *
i.e. "teacher", "cafeteria", "bus driver" etc.
Month Nominated: *
Please select the current month
Employee's Department/School: *
Your Name: *
Your e-mail address: *
Comments: *
In 50 words or less, please list reasons to support your nomination:
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