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WTEA Awards Nomination Form
Please complete the form to make a WTEA Awards Nomination. Please be sure to read over the description of the awards prior to making a nomination. The description to the awards can be found at the WTEA website below.
http://www.wtea-wis.org/~exec/Awards%20handbook.pdf
* Indicates required question
Email
*
Record my email address with my response
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 school or agency where the person who is being nominated is employed
Your answer
Street Address
Enter the (work) address of the person you are nominating
Your answer
City
Enter the (work) city of the person you are nominating
Your answer
State
Enter the (work) state of the person you are nominating
Your answer
Zip Code
Enter the (work) zip code of the person you are nominating
Your answer
Work Phone
Enter the work phone of the person you are nominating
Your answer
Award Category
Educator of the Year
High School Program of the Year
Middle School Program of the Year
Award of Excellence
Special Recognition Award
Community Service Award
WTEA Inspire Award
Clear selection
Primary Reason for Nominating
Provide a short description as to why you are nominating this person or industry
Your answer
Nominator Name
Enter your name
Your answer
Nominator email
Enter your school or work email
Your answer
Nominator School or Agency
Enter the name of your school or agency
Your answer
Your relationship with the person you are nominating
Identify the relationship that you have with the person you are nominating ie; co-worker
Your answer
Any additional comments you wish to share
Your answer
A copy of your responses will be emailed to .
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