Affiliate of International Literacy Association
Affiliate of Massachusetts Reading Association
BERKSHIRE READING COUNCIL~1964-2018
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Celebrate Literacy Award

Nominate a colleague that has gone above and beyond in the field of literacy


 

BRC LITERACY AWARD NOMINATION FORM

 

Who do you know that stands out in the field of literacy?

Who goes above and beyond to make literacy come alive?

Who comes to mind when you think of fostering literacy in the community?

 

Name of person to be nominated-________________________________________________

Employment/School-__________________________________________________________

Phone/email-________________________________________________________________

Address-___________________________________________________________________

Years in profession-_______________________________

 

Why do you feel that this person is deserving of this award?_______________________________________________________________

_______________________________________________________________________________________________________________

_______________________________________________________________________________________________________________

 

Name 3 or more accomplishments attributed to the nominee.

 

1.__________________________________________________________

____________________________________________________________

2.__________________________________________________________

____________________________________________________________

3.__________________________________________________________

____________________________________________________________

Additional Facts (family, interests, hobbies, etc.)

____________________________________________________________

____________________________________________________________

____________________________________________________________

____________________________________________________________

 

Submitted by:

 

Name:________________________________________________

Employment/School: ____________________________________

Email:_______________________________________________________