PENNSYLVANIA ASSOCIATION

COUNCIL FOR EXCEPTIONAL CHILDREN

 

TEACHER OF THE YEAR AWARD 2008

 

NOMINATION FORM

 

 

Nomination of:

 

 

Address:

 

 

City, State, Zip:

 

 

Work/Home Phone #:

 

 

 

Nominating Region:

 

 

Person Submitting:

 

 

Region Director:

 

 

Address:

 

 

City, State, Zip:

 

 

Work/Home Phone #:

 

 

 

Signature of Nominator:

 

 

INFORMATION NEEDED TO COMPLETE THIS NOMINATION:

 

Þ  All information requested on the CALL FOR NOMINATIONS sheet;

Þ  Description of the outstanding professional contributions of the nominee in the delivery of services;

Þ  Vita of nominee;

Þ  Letters of recommendation (no more than 5);

Þ  Verification of membership (obtainable from CEC headquarters).

 

Þ  Send nomination to:

GINA SCALA

476 TIMOTHY DRIVE/ MACADA NORTH

BETHLEHEM PA 18017