*Question 1 asks for information about the person making the nomination*

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* 1. What is your...

*Questions 2-14 ask for information about the nominee*

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* 2. Nominee's contact information:

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* 5. Does the nominee currently serve on a school district board of education?

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* 6. Does the nominee currently serve on a BOCES board of education?

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* 7. On what date did the nominee first begin board service?

Date

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* 8. On what date does the nominee's current term end?
[If the nominee does not currently serve on a board of education, when did his/her most recent term end?]

Date

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* 9. Please upload a copy of the resolution passed by the board of education endorsing the nominee for this award [Only PDF, DOC, DOCX, PNG, JPG, JPEG, GIF files are supported].

Alternatively, you may copy and paste the resolution in the field below in question 10.

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* 10. Place text of resolution here if you did not upload it in question 9:

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* 11. Please list the nominee's relevant board-related activities (e.g., board committees) and all non-NYSSBA, board-related training activity, such as those from BOCES or local/national school board associations, etc. NYSSBA staff will automatically submit all NYSSBA event/training activity for all candidates.

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* 12. Please list the nominee's relevant board-related accomplishments:

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* 13. Please list the nominee's non-board-related activities and accomplishments (e.g., community boards served on, community service, professional accolades, etc.):

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* 14. Please upload copies of the three mandated letters of recommendation, one of which must be from the superintendent of the school district or BOCES related to the board on which they serve(d):

For assistance, please contact Patrick Longo, NYSSBA Member Relations Manager, at patrick.longo@nyssba.org or (518) 783-3706.
Please click "DONE" below to submit your nomination form.

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