2018 MAME 45 - Retiree Recognition
"Life begins at retirement" Let's help our friend get a good start by honoring them at MAME 45!

In order to honor our MAME members who have retired, we ask that if you are or know of a MAME member who retired this school year (2017-18), please answer this short survey.

If you decide to upload a picture of the retiree, which we are hoping you will be able to do, you will need to log in with a Google account. Please keep this in mind before you begin this form.

If you have any questions please email Lisa Brakel at lbrakels@mimame.org

Email address *
Name of retiree (Please provide the correct spelling of their name.) *
Email or prefered contact for retiree *
Address for retiree *
(We will send the certificate if the retiree is unable to attend the MAME 45 conference.)
School District he/she is retiring from *
Please submit one picture of the retire.
Name of person filling out this form
(If someone other than retiree)
email of person filling out this form *
(if someone other than retiree)
Phone number of person filling out this form. *
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