PDAC Award Nomination Form

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PDAC Award Nomination Form

Please complete this form to nominate an individual for a PDAC award in acknowledgment of their commitment to advancing equity and being a champion for diversity and inclusion within IPSD 204.

Nominations will close on May 1, 2024.

The PDAC Leadership Team will review the nominations and identify award winners. Winners will be notified by early May 2024.

Email *

DESCRIPTION OF AWARDS

Equity Champion: A community stakeholder that has built bridges between groups, bridged understanding of individual differences, and built an understanding of equitable education in support of both PDAC’s and District 204’s missions.

Kathy Pease Award for Equity: Awarded to an administrator or staff member who has gone beyond the call of duty to ensure that all students have equal access to educational excellence.

Saily Joshi PDAC Award for Equity: Awarded to parents or guardians who have diligently worked to ensure that all students have equitable access to educational excellence in district 204.

Your Name *

Your Phone Number *

Nominee's Name *

Nominee's Phone Number *

Nominee's email address *

What school(s) is the nominee associated with? *

Nominee's Role in the District *

Building Principal

Parent / Guardian Volunteer

PTA Representative/Officer, PDAC Liaison

Teacher/ Educator/ Support Teacher

Administrator

Other:

What is your relationship to the nominee? *

Reason for nomination *

Submit

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