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EDNA OLIVER/NANCY SWANK AWARD FOR OUTSTANDING SERVICE ON BEHALF OF CHILDREN NOMINATION FORM Mail Nomination Packet to: CAEYC
IN ORDER TO BE CONSIDERED, NOMINATION MUST BE RECEIVED BY FEBRUARY 28, 2009 Directions: In order to complete the following form, you must be a CAEYC member. Please fill out the form as completely as possible. You may also include the other supporting information that will assist the committee in its selection. The committee will inform the nominee of your nomination and provide him/her with an opportunity to provide further self-documentation. Once again, please be advised that the committee uses the information to determine its selection, so please be as complete as possible. Nominee’s Name ________________________Phone ____________________ E-mail_____________________________ Address ________________________________________________________________________________________________ Position, Occupation, Agency Affiliations:____________________________________________________________________ ________________________________________________________________________________________________________ ________________________________________________________________________________________________________ ________________________________________________________________________________________________________ ________________________________________________________________________________________________________ ________________________________________________________________________________________________________ ________________________________________________________________________________________________________ ________________________________________________________________________________________________________ ________________________________________________________________________________________________________ ________________________________________________________________________________________________________ ________________________________________________________________________________________________________ ________________________________________________________________________________________________________ The award is based on the following criteria, with special attention to individuals who have shown particular commitment to the ideals of CAEYC and NAEYC. Please answer the following questions on a separate sheet of paper. 1. Number of years of service on behalf of young children. 2. Knowledge of early childhood care and education. 3. Evidence of involvement with children and families at many levels. 4. Individual’s influences on early childhood care and education beyond ordinary expectations. 5. Evidence of speaking out on behalf of young children, in ways which reflect the goals and purpose of CAEYC/NAEYC. Your name, address, E-mail and phone: ___________________________________________________________________________ ________________________________________________________________________________________________________ |