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WEPR PTA HEROES IN EDUCATION NOMINATION FORM
Greetings PTA Units and Councils:

The WEPR-PTA Fall Conference traditionally has been a time where we recognized the work, advocacy and efforts of those individuals that work to support the children and schools throughout our communities. During the Fall Dinner Conference on Friday, November 29, 2018 at 6PM, we would like to recognize teachers, administrators, local community members, parents or volunteers, who truly honor the overall purpose of PTA, which is to make every child’s potential a reality by engaging and empowering families and communities to advocate for all children. These are Our Heroes in Education.

With that said. If you would like to nominate an individual within your school district’s community to receive recognition at the 2018 WEPR-PTA Fall Dinner Conference please forward the following information no later than Monday, November 14, 2018.

Please note the unit or council should cover the dinner conference cost of the nominee.
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Email address *
Name of the Nominee (first and last name): *
Your answer
Nominee’s email *
Your answer
Nominee’s Phone #
Your answer
School District/School Name:
Your answer
PTA Unit/Council Nominator:
Your answer
Nominator’s Name: *
Your answer
Nominator’s Email: *
Your answer
Nominator’s Phone #: *
Your answer
Reason for this recognition (150 words or less) *
Your answer
A copy of your responses will be emailed to the address you provided.
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