Inspire Award Nomination Form
Do you know someone or a group of individuals who go above and beyond to support students in the Halton District School Board - why not nominate them for an Inspire Award? 

Inspire Award nominations are reviewed by a committee of Trustees each month during the school year. Each nomination is evaluated on its own merit. Those most closely reflecting the criteria in an exemplary way will be recognized. Please review the evaluation criteria as referenced in the Inspire Awards Evaluation Guide and submit the Inspire Awards Nomination Form, including specific examples of above and beyond contributions to support students in the HDSB.

*Note: Superintendents, the Director of Education, Associate Director and publicly elected trustees cannot be nominated for an Inspire Award.
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Email *
Nominator’s Name
*
Nominee Information
The following sections must be completed with the details for the individual or group you are nominating for an Inspire Award. 
Nominee’s Name (individual(s) or group):
*
Nominee’s Phone or Email:
*
HDSB Staff Nomination (Check one):
Please see HDSB Employee Groups for breakdown
*
HDSB Nomination (Student, Parent, Volunteer, Community Member) (Check One)
Person Being Nominated (Check one):
*
Name of Individual or Group as it should appear on Inspire Award Certificate
*
Nominee's School (or HDSB/community affiliation):
*
Nominee's School Principal Name/Name of Manager/Supervisor
Reason for Nomination
Describe why this individual or group is deserving of this recognition. Please review the HDSB Inspire Award Evaluation Guide used by Trustees to assist in writing your answer. All fields are mandatory.
Above and Beyond:  Provide specific examples of how the nominee(s) has/have gone above and beyond in supporting student(s) success and well being.  
*

Inspire Others:  Describe how the nominee(s) has/have inspired others.

*
Lasting Positive Impact:  How will the actions of the nominee(s) have a lasting positive impact?
*
A copy of your responses will be emailed to the address you provided.
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