2020 WSR Awards Dinner Nomination

General Information

Please complete all of the information below for this nomination to be considered.

Question Title

* 1. Nominator's Information

Name

School/District/Organization

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number

Question Title

* 2. Nominee's Information

Name

School/District/Organization

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number

Question Title

* 3. Role of nominee

Superintendent

Principal

Teacher

Student Support Team

District Staff Member

Please provide specific role (grade, subject, or department)