Incredible Indian:  Nomination Form
The Kennett #39 School District is very fortunate to have such an amazing staff who go above and beyond to make a positive impact on their students, with their peers, and in the community.  Each month, we want to highlight those difference makers. This nomination form is designed to help us acknowledge staff members who go above and beyond in their roles. Your input is vital to ensure we recognize those who make a significant difference in our school district.   Central Office Administrators will review staff nominations each month and select those to be highlighted.  Those who are highlighted each month will have a social media spotlight and receive KSD #39 swag.  
Email *
Staff Member Information:     Please provide the name of the staff member you wish to nominate to be recognized. *
Role/Position of Staff Member: *
Required
Reasons for Recognition   *
Required
Impact on Students/Colleagues:   In what ways has this staff member positively impacted students or colleagues? Please provide specific examples or stories, if possible. *
Additional Comments  
A copy of your responses will be emailed to .
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Kennett School District 39.

Does this form look suspicious? Report

Google Forms