MAME 44 Award Nomination form
This form should be used to nominate candidates for any one of the sixteen awards that MAME sponsors or the ISTE Making IT Happen Award. Please fill out a separate form for each award. Please e mail a one page statement as to how the candidate meets the criteria for the award that they are being nominated for.

IN ADDITION please include supplemental documents to show further support. These might include; links to articles, letters from colleagues, letters from administrators and other recognition the candidate may have received. All supplemental items should be sent to the e mail at the bottom of this form.

For information regarding each of the awards please visit the MAME awards website:
http://www.mimame.org/mame-awards.html

Prior to submitting your application please check this spreadsheet
http://www.mimame.org/uploads/8/2/6/5/826513/mame_awardwinners1974_2016_organized__by_award.pdf
to make certain that your honoree has not already received the award you are nominating them for.


All nominations are due by July 21, 2017
Starred items require an answer.

Email address
Award Rules
All nominations should include the following three items:
1. The completed application form.
2. A minimum one-page statement as to how the candidate meets the criteria for which he/she is being nominated.
3. Any supplemental items which would support the nomination.

The following rules apply to all awards. Nominations must adhere to these guidelines to be considered.All awards will be presented at the annual MAME conference.

1. Only one award per category will be given each year.
2. The Awards and Citations Committee will select each recipient.
3. Information should be clear, concise, and based on that award's specific criteria.
4. All nominations must be submitted electronically by July 21 of the current year to be considered by the Awards and Citations Committee.
5. The Awards and Citations Committee will notify all nominators and recipients of the final decisions prior to the MAME conference.

Title
First and Last Name of Candidate
Your answer
Pronunciation of first name
Your answer
Pronunciation of last name
Your answer
Professional Position
In the case of a retiree the last position held.
Your answer
School District
In the case of a retiree the last school district where employed.
Your answer
School Name
In the case of a retiree the last school where employed.
Your answer
MAME Region #
(You may look up your region by visiting the MAME web site and looking under "Our Organization" Region information at: www.mimame.org)
Your answer
School Address
Your answer
School Phone Number
Your answer
Home Address
Your answer
Home Phone Number
Your answer
Cell Phone Number
Your answer
Email Address
Your answer
Designate the award for this nomination.
Select one award category for this nomination.
Nominator(s) Information
Title
First and Last Name
Your answer
Pronunciation of first name
Your answer
Pronunciation of last name
Your answer
Professional Position
In the case of a retiree the last professional position held.
Your answer
School District
In the case of a retiree the last school district where employed.
Your answer
School Name
In the case of a retiree the last school where employed.
Your answer
School Address
Your answer
School Phone Number
Your answer
MAME Region #
(You may look up your region by visiting the MAME web site and looking under "Our Organization" Region information at: www.mimame.org)
Your answer
Home Address
Your answer
Home Phone Number
Your answer
Cell Phone Number
Your answer
Email address for nominator
Your answer
If there are multiple people involved in this nomination please list their name and email addresses below.
Your answer
Please include the name of the local newspaper for the candidate. Should they be chosen for an award a press release will be sent to this newspaper.
Your answer
I understand that I need to submit a one page document about the candidate and any supporting documents. I will be reminded to submit document prior to July 21.
Mark only one.
Required
OR Email the candidate statement and any other supporting documents to Amy Cote at amydcote@gmail.com
Thank you for your nomination. You will be contacted upon receipt of your nomination by the Awards Chairman. If you do not receive a response in seven to ten business days please e mail Amy Cote at amydcote@gmail.com to inquire about your status.
This form is due July 21, 2017
Please complete the captcha before submitting the form.
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