M.G. Raby Nomination Form                                                                                                                            
The MSD of Wayne Township is proud to kick off the 26th Annual M.G. Raby Awards Recognition for the 2023-2024 school year.  We hope you will take a few moments to honor someone who meets the below criteria.

Criteria: Persons who demonstrate, encourage and promote equality and acceptance; who by daily example contribute toward the elimination of racism, stereotyping and discriminatory practices; who have been influential in improving human relations.
Nomination Forms are due by Friday, May 10, 2024
Email *
Select the category for your nomination *
Nominee's Information:
Nominee's Full Name *
If your nominee is selected, he or she will be recognized by the MSD of Wayne Township School Board and receive a certificate and gift.  We want to ensure we have his/her name spelled correctly.  
School *
Please use the drop down menu to select the school or building associated with your nominee.
Nominee's Home address: *
Street, City, State, Zip
Nominee's Telephone Number *
Include area code
Please type a detailed expression of how this person exemplifies the MG Raby criteria.  Your written expression should be very detailed and provide specific examples as to how your nominee meets the criteria.   *
Criteria: Persons who demonstrate, encourage and promote equality and acceptance; who by daily example contribute toward the elimination of racism, stereotyping and discriminatory practices; who have been influential in improving human relations.
Nominated by:
Name of Person Completing this Form *
Please type in your full name.
Your School or Building Association *
Please select the school or building you are associated with to ensure you receive an invitation to the reception should your nominee be selected.
MG Raby Award Reception
The event will occur on Monday, June 10, 2024, from 5:00 - 6:00 pm, at the Education Center. 

Thanks so much for taking the time to recognize someone who is both intentional and influential in improving our school community.
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of MSD of Wayne Township. Report Abuse
Google Forms