Board of Education → Distinguished Service Awards → 2007 Nomination Form

The Board of Education Twelfth Distinguished Service Awards

2008 Nomination Form

Deadline: The nomination deadline is 5 p.m. on July 11, 2008.

Questions should be addressed to Becky Gibson at 301-279-3301 or Becky_Gibson@mcpsmd.org.

About the Awards

The Montgomery County Board of Education has established the Awards for Distinguished Service to Public Education to recognize and show appreciation to individuals (including MCPS students), groups, or businesses that have made exemplary contributions to pubic education in Montgomery County.
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Nomination Form

Please complete one form per nominee. Part I and Part II of the form must be completed for all nominees. Part III should only be completed for a nominee in the Individual Pioneer category. This nomination form must be submitted by 5 p.m. on July 11, 2007.

NOMINATION FORM - PART I

NOMINEE INFORMATION:

Name of Nominee: 

Address:  

City:      State:     Zip:

Telephone Number(s):
Home   Work    Cell

E-mail Address:

Title/Organization:  

CATEGORY FOR WHICH THIS NOMINATION IS MADE:

  Community Individual
  Community Group
  Business
  Montgomery County Public Schools Staff
  School Service Volunteer
  Individual Pioneer

NOMINATION SUBMITTED BY:

Name:  

Address:  

City:      State:     Zip:

Telephone Number(s):
Home   Work     Cell

E-mail Address:  

Title/Position:  

NOMINATION FORM - PART II

Please respond to all of the questions below.

A.  Explain why you believe this person, group, or business should receive the Award for Distinguished Service to Public Education in Montgomery County.

B. Identify specific and recent contributions or service to the Montgomery County Public Schools that have been made in the past three years and have had systemwide benefits. (The services and contributions must have been sustained over a period of time.) Please clearly identify all time sequences.

C.  Describe the specific impact of service provided by the nominee on students, the school system, and the community at large.

NOMINATION FORM - PART III
Only for Individual Pioneer Category

Please respond to this part of the form only if the nominee is in the Individual Pioneer category.

A.  Describe why you think this person should receive the Individual Pioneer Award.


B.  What distinguishes this individual from other outstanding individuals?


C.  Identify specific, extraordinary contributions or services provided in the past that have had a profound effect on the Montgomery County Public Schools over many years.


 

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