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.
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.
