Award Nominations

Date

I nominate the following candidate for:*

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 specific 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:

Award Nominations

Endorsements and Award lnformation

Nominee Information

Nominator lnformation

Nominee Bio

Award lnformation

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