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WITEA

Official Nomination Form

Nominations must be accompanied with a typewritten description of the nominee's position and accomplishments, support information (including professional memberships and activities, professional contributions, education and experience background, and civic and community involvement), support letters, appropriate letters, and this official nomination form to be considered by the WITEA Awards committee.

WITEA Awards
WITEA Teacher of the Year Ken Pattie Award
(25 years of teaching technology)
Technology Program of the Year Outstanding Vendor Award
WITEA Tom Staly Service & Leadership Award
ITEA Awards
ITEA Teacher of the Year Distinguished Technology Educator
ITEA Program of the Year Special Recognition Award
Name of Nominee  
Work Address City State Zip
Home Address City State Zip
Work Phone Home Phone
Nominee  
Nominee's Current Title

Subjects Taught and/or Duties
WITEA Membership:
for ______ years starting in _______
ITEA Membership:
for ______ years starting in _______

Name and position of individual making nomination:

 

Signature of individual making nomination:

 

Mail completed form and releated documents to:

Criner, Mike
Concrete School District
P.O. Box 402
Concrete, WA 98237

Ph. 360-853-8143 ext. 204

Fax
360-853-8110
criner9604@msn.com