JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
2022 NHSTE Award Nomination Form
Please provide the following information about you and the nominee. Once we receive a nomination a full application will be sent to the nominee. Nominations are due by Friday Oct 7, 2022
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Your Full Name
*
Your answer
Your email address
*
Your answer
Your Occupation/Title
*
Your answer
Relationship with nominee
*
Co-Worker
Friend
Parent/Citizen in district of nominee
Administrator in district of nominee
Self nomination
Will you be assisting the nominee in completing the application?
*
To complete the application the nominee will need to provide two letters of recommendation, a resume, and one artifact. As nominator you may assist in this process.
Yes
No
Required
Name of Nominee
*
Your answer
Nominee's Occupation/Title
*
Your answer
Award you are nominating this person for
*
Find a description of each award here:
http://www.nhste.org/awards
Pat Keyes Technology-Using Educator Award
Susan Janosz Technology Impact Award
School and School District of Nominee
*
If the nominee is a district employee just include the district.
Your answer
Work email address of nominee
*
Your answer
In 250 words or less tell us why this person deserves this award.
*
Your answer
NHSTE Logo
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of NH Society for Technology in Education (NHSTE).
Report Abuse
Forms
