WTEA Awards Nomination Form
Name of Nominee
enter the name of the person or industry member you are nominating
Your answer
Email address of Nominee
enter the email of the person you are nominating
Your answer
Position of Nominee
enter the position of the person you are nominating
Your answer
School or Agency
enter the name of the school or agency where the person is employed
Your answer
Street Address
enter the (work) street address of nominee
Your answer
City
enter the (work) city of the nominee
Your answer
State
enter the (work) state of the nominiee
Your answer
Zip Code
enter the (work) zip code for the nominee
Your answer
work phone
enter the work phone of the nominee
Your answer
Award Category
select the categories below that are appropriate for the nominee, awards are described on the WTEA website
Primary Reason for Nominating
provide a short description as to why you are nominating this person or agency (150 words or less)
Your answer
Nominator Name
your name
Your answer
Nominator Email
your email
Your answer
Nominator Phone Number
your contact number
Your answer
Nominator School or Agency
name of your school or agency
Your answer
Your relation to the person you are nominating
identify your relationship to the person or agency you are nominating
Your answer
This form was created by WTEA Awards Chair Matthew Schultz, Kenosha Unified School District
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