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All fields are required unless otherwise noted.

Nominator’s Name:

Nominator's Phone Number:

Nominator’s Email Address:


Nominee’s Name:

Nominee's Phone Number: (if known)

Nominee’s Email Address:


Relationship to the Nominee:
Nominee is/was my child’s teacherNominee is my colleagueNominee is a neighbor/community member

Please describe why you feel this teacher should be recognized: