NEA-New Mexico Advocate of the Year & ESP Nominations

Name of Nominee*

First NameLast Name
Title or Position*
Nominee's Personal (non-school) Email*
example@example.com
Nominee's Mobile Number*
Please enter a valid phone number.
Nominee's Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Number of Years as Member*
Region*
Nominated by*
Date

MonthDayYear
Date
Nominator Personal (non-school) Email *
example@example.com
Nominator's Mobile Number *
Please enter a valid phone number.
The candidate must be an active member, meet one or more of the following criteria, and inlcude a written
narrative describing how the nominee meets one or more of the following criteria:
1. promotes positive self-image of ethnic minority students;
2. developed programs and/or opportunities to meet the needs of all students to reach their full potential;
3. promotes parental involvment within the school and the community at large; or
4. enhances intergroup relations and understanding among ethnic groups.
Required Documentation:
- 1-3 letters of support
- Up to 3 pages of supporting documentation (optional, refer to award guidlines on NEA-NM's website, neanm.org)
If you have any questions about completing this form, you may contact Lisa Young at lyoung@neanm.org or 505-982-1916.
Three Letters of Support*

Cancelof
Cancelof
Cancelof
Cancelof
Should be Empty: