WEAC Awards - Tenia Jenkins Activist Award Nomination Form - Wisconsin Education Association Council

Form must be submitted no later than February 1.
NOMINEE:
Name
First Last
Nominee's job title and place of employment
Address
Street Address Address Line 2 City State ZIP Code
Home or Cell Phone
Home Email Address
SUBMITTER INFORMATION:
Name
First Last
Address
Street Address Address Line 2 City State ZIP Code
Home or Cell Phone
Home Email Address
Today's Date
MM slash DD slash YYYY
In the area below, please indicate why the nominee deserves consideration for the Tenia Jenkins Award. Please include documentation of up to four letters of support for this award not to exceed one page each. Examples of documentation are: local unit, Region, community leaders, supervisors, co-workers, state or national leaders, etc. These can be sent separately as email attachments to Jason Mathews at mathewsj@weac.org or by mail to Jason Mathews, WEAC, PO Box 8003, Madison, WI 53708. Please be sure to indicate the name of the nominee on these submissions.