Nomination Form

Award Description:  This award is presented to a Middle or High School Student Assistance team that has gone above and beyond to identify barriers to learning. A team that supports research-based prevention programs, skilled identification, and also fosters positive connections with students, parents, and the community. Documentation for the Distinguished Secondary SAP Team Award will be reviewed by the members of PASAP's Awards Committee and approved by the PASAP Board of Directors.

Presentation:  Presented at the annual PASAP Conference during the Awards Banquet.

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* 1. Date of Nomination (deadline for submission is December 31)


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* 2. Nominated by

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* 3. Nominated Team Contact Information

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Use this PASAP Region Map as a reference

<span style="font-size: 14pt;">Use this PASAP Region Map as a reference</span>