2019 WAHPERD OFFICIAL AWARD NOMINATION FORM
Please take the time to consider nominating a member for one of the following awards. Without YOUR help WAHPERD recognitions would not be possible. Nominations open April 30, 2019 and close September 13, 2019.
Please click the link to the awards criteria and descriptions on the WAHPERD website:
www.wyomingahperd.com

THE NOMINEE INFORMATION:

Name *
Your answer
School *
Your answer
Home Address *
Your answer
City *
Your answer
Zip Code *
Your answer
Home Phone *
Your answer
Preferred Email Address *
Your answer
Check the award for the above nominee *
Required
Name and Position of person making the nomination: *
Your answer
Nominator Contact Information Phone Number *
Your answer
Nominator Contact Information Email Address
Your answer
Questions can be emailed to Charli Fluty at: CEFLUTY@pcsd1.org
If you nominate someone, please be prepared to mentor them in completing their application. For the PAX Ricketts Award, the HONOR Award and the Marburger-Gates Young Professional Award , the NOMINATOR will collect the information on the person you are nominating. The nominee is NOT aware of the nomination. These awards are announced at the convention with the awardee unaware they are receiving the award.
Note: Sometimes we receive just a name. We need more than that to proceed, so please do not submit until the form is complete and thank you for your assistance in recognizing our outstanding teachers.
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