Bellingham Promise Awards Nomination Form
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22016 Bellingham Promise Awards Nomination Form
Name of Individual or Team Being Nominated: ________________________________________________
(Please list individual members of team separately on the back of this form.)
Work or Volunteer Location: ____________________ Supervisor/Principal: ________________________
Years in Current Position: _____
Grade Level: ______
(Only if you know it. Please do not contact Human Resources)
Nominated for this Annual Award:
Certificated Staff Member of the Year
(check one)
Classified Staff Member of the Year
Community Partner/School Volunteer of the Year
Team of the Year (please list all names on back)
Leader/Administrator of the Year
One Schoolhouse Award
Name of Nominator(s):____________________________________________________________
Nominator’s Contact Information (include phone):______________________________________
Signature(s) of Nominator(s): ______________________________ Date: ___________________
Signature of Supervisor/Principal: __________________________ Date: ___________________
Supporting Documentation for Staff/Volunteer/Team/Leader Awards
Reason for nominating this individual/team: As an attachment in 200-300 words (no more than one
page), please address the reasons for nominating this individual or team. Please address criteria that
includes why this candidate is a model of the tenets of The Bellingham Promise.
Note: A complete nomination packet is scored more positively than an incomplete one.
Letter of recommendation: At least one letter of recommendation (200-300 words in length) from a
student, colleague, principal/supervisor, parent, or community member is required. This can be a brief
statement confirming your support for the nomination. Winning nominations often have several letters and
also a student recommendation.
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