VAISEF 2017 Award Nominations

Nominee and Nominator Information

Before you begin this nomination form, please ensure that your nomination or responses to the nomination questions have already been prepared and saved elsewhere so that you can cut and paste your answers. The form will NOT save your entries if you navigate away from the survey website and you will NOT be able to print a copy of the nomination before you submit it.

Question Title

* 1. Nominee Information

School Name

Name of Nominee

Title or Position

Nominee Email Address

Nominee Phone Number

Question Title

* 2. School and Nominator Information

Name of Program Director

Email Address of Program Director

Your Name (if different than Program Director)

Your Email Address (if different than Program Director)

Question Title

* 3. Which award is this nomination for?

Margaret Shepherd Teaching Award

Making A Difference Award

Commitment to Community Award

Empowering Administrator Award

Stakeholder of the Year

Giving Back Award

Parent of the Year Award

Student Achievement Award

Most Improved Student Award

Student Leadership Award

Excellence in Board Service Award