2023 Award Nomination Form

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The Knowledge Center at Chaddock is one of the five corporations that is collectively known as the Chaddock Family of Organizations. While each entity has its own unique mission statement, our efforts are grounded in a shared vision - a world where every person matters, relationships are valued and healing and change are possible - and shared values of Faith, Relationships, Responsibility, Learning, and Caring.

This is the second year for the Knowledge Center’s Trauma-Informed, Relationship-Focused Schools Conference and we will continue the tradition this year of bestowing an Educator of the Year and an Administrator of the Year award at our annual conference to honor those who exemplify our vision and values.

Please complete the form below to nominate an Educator or Administrator of the year or both. Awards will be presented on Saturday, April 1st at the 2023 Conference at The Knowledge Center at Chaddock, Quincy, IL. If you would like to nominate more than 1 person, or a person in each category (Educator or Administrator) please fill out the form again for another nominee. If you have questions please contact knowledgecenter@chaddock.org.

Nomination Deadline: February 28, 2023

Email *

Your name (First & Last) *

Your Title *

Your School/Organization Name *

Your Phone # *

I am nominating someone for the Award of: (If you would like to nominate more than 1 person please fill out the form again for your other nominee) *

Educator of the Year

Administrator of the Year

Name of person you are nominating for the award (First & Last Name) *

Nominee's email *

Nominee's title *

Nominee's school/orgainization *

Nominee's phone # *

How do you know the nominee? (Check all that apply) *

Colleague/co-worker of nominee

Supervisor of nominee

Current or former student of nominee

Parent, adult family member of a current or former student

Other:

Required

Please tell us about your experience with this nominee and why you think he/she is deserving of this award. *

How has this nominee exemplified Chaddock's vision and values (Vision - a world where every person matters, relationships are valued and healing and change are possible. Values - Faith, Relationships, Responsibility, Learning, and Caring). *

If possible, please provide a short bio for your nominee

Please provide any additional information you would like for us to consider.

Submit

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