Goldstein Excellence in Education Award Nomination Form

Nominator

First Name This field is required

Last Name This field is required

Phone This field is required Invalid Format

Email This field is required Invalid Format

Award Nominee

First Name This field is required

Last Name This field is required

School This field is required

Position (faculty/staff)

Grade (student)

Nomination Details

Explanation of Excellence: State why you believe your nominee is a worthy recipient. This field is required

Faculty/Staff: How did the teacher/staff member offer outstanding service to the school district, its employees, parents or students that far exceeds job duties and responsibilities?

Student (MHS Students Only): How did the student exhibit outstanding personal achievement, effort or improvement that positively reflects the spirit of MHS?

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	PO Box 191, Manhattan, KS 66505-0191