Early Childhood Educator of the Year Nomination Form

Nominee Information:

Educator's Name

Name of Licensed School/Center/Home Program

Address/Town/Zip

Telephone

Email Address

School/Center Type:

State of New Hampshire License Number for School/Center/Home (N/A for public school centers)

Your Information:

Nominator's Name

Address

Telephone

Email Address

Relationship to Nominee:

Please provide details when answering the following 4 questions while fitting response in space provided.

1. How does the nominee display a passion for educating young learners?

2. How does the nominee exhibit professional relationships with the children and families who are served in the school/center/home program?

3. How does the nominee demonstrate creative approaches to support children's growth, learning, and development?

4. How does the nominee demonstrate collaboration with others (e.g. families, staff, members, and the community) to create and sustain a safe and nurturing environment?

By putting my name and date below, the statements in this application to the best of my knowledge, reflect the individual being nominated. I give permission for this information to be used to describe the candidate and in publicity for the event.

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Note: Please fill out the fields marked with an asterisk.