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TESL NIAGARA AFFILIATE SERVICE AWARD

NOMINATION FORM

 

I, (Please print) _________________________________________________________, a member in good standing of the TESL Ontario Niagara  Affiliate (Membership #: _______________________) wish to nominate __________________________________________________________ for the Affiliate Service Award for the following reasons (please refer to the nominee qualifications in your response):

_______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Nominator's contact information: __________________________________________________

______________________________________________________________________________

Nominator's signature: ___________________________________________________________

This Nomination is being seconded by two members in good standing of the TESL Ontario Niagara Affiliate:

1) Seconder’s Name (Please print): __________________________________________________

TESL Ontario Membership #: ______________________________________________________

Seconder’s contact information: __________________________________________________

______________________________________________________________________________

Seconder's signature: ___________________________________________________________

2) Seconder’s Name (Please print): __________________________________________________

TESL Ontario Membership #: ______________________________________________________

Seconder’s contact information: __________________________________________________

______________________________________________________________________________

Seconder's signature: ___________________________________________________________

Date: _________________________________________________________________________

PLEASE NOTE: Family members of the Service Award Nominee cannot make or second a Nomination.

PLEASE NOTE: Nominee qualifications can be found in the description of the Affiliate Service Award on the TESL Niagara website (http://www.teslniagara.org/)

PLEASE SUBMIT THE COMPLETED FORM ELECTRONICALLY (as a PDF file) to the Nomination Committee, TESL Niagara (teslniagara.info@gmail.com) by March 10.

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