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* 1. Name of Nominee:

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* 2. Grade Level Taught:

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* 3. List subjects taught / number of years taught / number of students attended:

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* 4. Honors:

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* 5. What is nominee's most significant contribution or accomplishment?

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* 6. Suggested citation of not more than 30 words:

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* 7. Append statements of a maximum of two close associates familiar with the candidate's endeavors. Include student testimonials, if available.

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* 8. Nominated by:

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