Washington Association of School Administrators - WASA Honorary Awards Nomination Form

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WASA Honorary Awards

2008 Online Nomination Form

Downloadable Version 258k [pdf]

Nominations for state awards must be submitted by May 1, 2008.

Take note! Several regions have earlier deadlines:
Region 101		April 7
Region 105		April 17
Region 108		April 10
Region 111		April 6
Region 114		April 18

This form can be completed online but must then be faxed or mailed to your regional Honorary Awards Committee representative. Fill in the information below, as appropriate, then press the Enter Information button at the bottom of the page. Print the subsequent confirmation page and mail or fax it to your region representative. Contact information is provided on the confirmation page.

NOMINATOR INFORMATION (Must be a current WASA member)

First Name:

Last Name:

Telephone:

E-mail:

District:

WASA Region:

Golden Gavel	Service to WASA	WASA Leadership	WASA Student Achievement Leadership
Award of Merit	Twenty-Year	Retirement

GOLDEN GAVEL AWARD

First Name:

Last Name:

Position/Company:

Rationale:

SERVICE TO WASA AWARD

First Name:

Last Name:

Company:

Rationale:

WASA LEADERSHIP AWARD

First Name:

Last Name:

District:

Rationale:

WASA STUDENT ACHIEVEMENT LEADERSHIP AWARD

First Name:

Last Name:

District:

Rationale:

AWARD OF MERIT

First Name:

Last Name:

District:

Rationale:

TWENTY-YEAR AWARD

First Name:

Last Name:

District:

Year joined WASA:

Dates served as administrator in
public school districts:

1.
2.
3.
4.
5.

RETIREMENT AWARD

First Name:

Last Name:

District:

Current Position:

Year joined WASA:

Number of years in public school administration:

If you have questions about the WASA Honorary Awards process, please contact WASA at 800-859-9272 or email Marilee Jensen at mjensen@wasa-oly.org. If you are having difficulty with this form, please contact Grant Clark at gclark@wasa-oly.org or call the WASA office.