Nomination Form

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50% of survey complete.

Please fill in the appropriate information below.  Parents and students are eligible to nominate a teacher and/or administrator that has made outstanding contributions in providing differenitated instruction that challenges students to reach their full potential.   You may nominate one person for each category listed below.  If you have any questions or difficulties, please contact Anna Adams:  abfly17s@comcast.net

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* 1. Please select the appropriate award category:

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* 2. Name of teacher/administor being nominated

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* 3. Teacher's grade level (if applicable)

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* 4. Teacher's School (if applicable)

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* 5. Subjects taught or administrative position (if applicable)

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* 6. Please provide your contact information.  Your feedback is anonymous and your contact information will only be used if the CANDO board needs further information or clarification.

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