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2023 NHSTE Award Nomination Form
Please provide the following information about you and the nominee. Once we receive a nomination a full application will be sent to the nominee. Nominations are due by
Friday September 22, 2023
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Full Name
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Your answer
Your email address
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Your answer
Your Occupation/Title
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Your answer
Relationship with nominee
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Co-Worker
Friend
Parent/Citizen in district of nominee
Administrator in district of nominee
Self nomination
Name of Nominee
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Your answer
Nominee's Occupation/Title
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Your answer
Award you are nominating this person for
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Find a description of each award here:
http://www.nhste.org/awards
Pat Keyes Technology-Using Educator Award
Susan Janosz Technology Impact Award
School and School District of Nominee
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If the nominee is a district employee just include the district.
Your answer
Work email address of nominee
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Your answer
In 350 words or fewer explain why this individual deserves this award. Please include specific initiatives or projects as examples, and wherever possible, how work in their role reflects the principles and ideals of the
ISTE Standards for Educators
and/or
ISTE Standards for Students
to serve learners in your school or district.
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Your answer
Names, email addresses, and titles of at least two additional references for this nominee
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Your answer
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