WBSD Star Certificate Nomination Form

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The purpose of the West Bloomfield School District Board of Education Star Certificate award is to recognize outstanding achievements by the students, staff and community members of the West Bloomfield School District. Honorees are also recognized for service to the district above and beyond the call of duty.

In order to be recognized, nominees must be a member of the district as a student, staff member or community member in West Bloomfield. Student groups and teams are also eligible for nomination on this form.

Please fill in the areas below so that we may consider your nomination:

Name of Nominee (Individual or Group) *

Nominee Contact Phone Number and Email *

Nominee's Position within District *

Student

Staff Member

Parent/Guardian

WB Community Member

Other:

Why does this nominee deserve recognition? *

How does this nominee positively represent the district? *

How has this nominee positively impacted the district? *

How does this nominee serve as a role model for others? *

Are there any additional reasons this nominee is deserving of recognition? *

Name of Nominator *

Nominator Position within District *

Student

Staff Member

Parent/Guardian

WB Community Member

Other:

Nominator Contact Phone Number and Email *

Do you wish to remain anonymous? *

Yes

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