Enroll Your Community for 2017-2018
If you have any questions, please visit www.hgf.org/teacher-awards or contact Nora Gorenstein at teacherawards@hgf.org.
Community Coordinator Name:
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First Name
Last Name
Community Coordinator Title or Role:
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Name of the person completing this form (if different from above):
First Name
Last Name
Community Coordinator Email Address:
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Best Phone Number to Call:
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-
Area Code
Phone Number
Best Day and Time to Follow Up:
Day
Time
Supervisor Email Address (if different from above):
Additional Community Contact (optional):
Name of Your Local Central Agency or Sponsoring Organization:
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Address of Your Local Central Agency or Sponsoring Organization:
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Has your community participated in this program in the past?
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Yes
No
Not sure
Other
I am interested in:
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Learning more about the program on behalf of a decision-maker or board
Learning more and beginning the enrollment process
Completing the enrollment process or resuming a past partnership
Other
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We plan to start our award process in this month:
We plan to select our award winner(s) by this month:
We would like the following additional materials to be provided by HGF:
A "turn-key" online nomination process for our community
A full-page flyer customized for our community
A general brochure about the program to share with our Board/etc.
Marketing materials to use on social media/online
Other
Additional Information (optional):
Please describe your current educator recognition program, why your community would benefit from partnering with the Harold Grinspoon Foundation, and any other relevant information.
Additional Information (file upload; optional):
Browse Files
Please share any marketing information, press releases, etc. about your current educator recognition program or other relevant files.
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Please sign here to verify that you wish to enroll your local Jewish community in this program, and are authorized to do so on behalf of the agency you listed above. If not, please explain in the text box below.
If you did not sign above, please explain.
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