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Heart of Gold Nomination Form
In memory of former employee, Tammy Kempf, the School District of Manawa is taking nominations for the "Heart of Gold" award. FIll out the following form to nominate a school employee for this award.

Email addresses are only collected to send you a receipt of your submission.

If you do not complete the entire nomination in one sitting, you may submit and edit your submission at a later date.
You may edit your nomination form after submission until 3pm on May 1st.
Nominations will NOT be read until after 3pm on May 1st.

Email address *
Nominations are due by 3pm on May 1st
Heart of Gold Criteria
A person nominated for the Heart of Gold should possess the following characteristics:
(These were all characteristics exhibited by Tammy Kempf)
CARING
STRONG WORK ETHIC
PATIENT
GENEROUS
CONSIDERATE
COMPASSIONATE
HUMBLE
Nominee Name: *
Your answer
Explain the nominee's position and years of service within the school district.
Your answer
Explain how this person exhibits the characteristic: CARING
Your answer
Explain how this person exhibits the characteristic: STRONG WORK ETHIC
Your answer
Explain how this person exhibits the characteristic: PATIENT
Your answer
Explain how this person exhibits the characteristic: GENEROUS
Your answer
Explain how this person exhibits the characteristic: CONSIDERATE
Your answer
Explain how this person exhibits the characteristic: COMPASSIONATE
Your answer
Explain how this person exhibits the characteristic: HUMBLE
Your answer
Is there any other information you would like the committee to know about your nominee?
Your answer
A copy of your responses will be emailed to the address you provided.
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