NEA-New Mexico Advocate of the Year & ESP Nominations

This nomination is for (select one)*

Friend of EducationBusiness Friend of EducationParental InvolvementAdministrator
Name of Nominee*

First NameLast Name
Region*
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
Name(s) of child(ren) in public school and school(s) attending
Nominated by*
Date

MonthDayYear
Date
Nominator Personal (non-school) Email *
example@example.com
Nominator's Mobile Number *
Please enter a valid phone number.
List specific reasons why you have nominated this individual or business. List the nominee's professional and civic positions held at the local, state, or national level*
Nominee's specific service to public education, the associations, children and or the community*
A statement (not to exceed one typed page) must be attached supporting the worthiness of the nominee for this award. Additional supporting data pertinent to this award should be included. (Nominations submitted without the appropriate supporting data and rationale will not be considered.) For further details, see Special Recognition Policy's available online at neanm.org.

If you have any questions about completing this form, you may contact Lisa Young at lyoung@neanm.org or 505-982-1916.
Worthiness doc*

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Statement supporting worthiness*

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Other additional docs

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Other additional docs

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Should be Empty: