Established in 1997, this award is given by affiliates to individuals, groups, or institutions that merit recognition for advancing the cause of intellectual freedom.

FOR YOUR RECORDS, PLEASE PRINT ONE COPY OF THIS COMPLETED FORM BEFORE PRESSING THE "DONE" BUTTON. If possible, any supporting documents should be sent electronically by attaching them at the end of this application. The application and all supporting documents should be submitted no later than May 1. If you have any questions, please contact affsec@ncte.org.

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* 1. Complete name of affiliate giving the award:

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* 2. Please give contact information for the nominator (contact person) for the award.

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* 3. Please give contact information of award recipient.

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* 4. Does the recipient give her/his permission to receive this award?

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* 5. Explain in fewer than 100 words why the nominee merits this recognition (this explanation will be used in descriptions of award winner for the Affiliate Breakfast program and press release):

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* 6. Paste in concise documentation and/or testimony of not less than 250 words or more than 750 words explaining why the nominee merits this award.

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* 7. Please provide the name and city of the newspaper to be contacted about the award winner.

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* 8. Will the award winner be able to attend the NCTE Annual Convention to be recognized at the Sunday morning Affiliate Breakfast? Should your awardee be unable to attend the Convention, please contact NCTE so we can plan to recognize the winner at the Breakfast and send the certificate by mail.

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* 9. Submit support documents.

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.
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* 10. Submit support documents.

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.
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* 11. Submit support documents.

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.
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FOR YOUR RECORDS, PLEASE PRINT ONE COPY OF THIS COMPLETED FORM BEFORE PRESSING THE "DONE" BUTTON. If possible, any supporting documents should be sent electronically by attaching above. The application and all supporting documents should be submitted no later than May 1. If you have any questions, please contact affsec@ncte.org.

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