Award Nominations

Date
Date Format: MM slash DD slash YYYY
I nominate the following candidate for:*
- Connect Award
- Empower Award
- Sustain — Life Achievement Award
Endorsements and Award lnformation
l understand that I must submit information about how the candidate for the award reflects the ideas of connect, enrich, empower, and sustain at the end of this application.
I understand that I must submit the names and email addresses of TWO people who will write additional letters of endorsement.
Nominee Information
Contact information for the person being nominated.
Name
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Email
Nominator lnformation
Contact information for you, the person placing your nominee's name into consideration for the award.
Name
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Email
Nominee Bio
Biography of the Nominee
(Max 100 Words)
Award lnformation
Recognizing that all educators reflect all four APCE values, please give speciflc examples of how this nominee demonstrates the idea of CONNECT in his/her educational ministry:
Max 500 words
PIease give examples of how this nominee reflects the idea of ENRICH in his/her educational ministry:
Max 500 words
Please give examples of how this nominee reflects the idea of EMPOWER in his/her educational ministry:
Max 500 words
Please give examples of how this nominee reflects the idea of SUSTAIN in his/her educational ministry:
Max 500 words
Endorsement Statements*
I understand that this application will be considered incomplete until the people listed below submit endorsements to the Awards and Scholarships Ministry Team.
Please enter their names and email addresses below.
Endorsement #1:
First Last
Endorsement #1 Email:
Endorsement #2:
First Last
Endorsement #2 Email: