2024 Collaborative Partners Participation Form

Collaborative partnerships are the backbone of the EDies program. Collaborative partnerships not only support us in recognizing award recipients, but also foster the community and school relationship that is essential to the success of education in New Hampshire. Thank you for celebrating phenomenal work being done around our state.

The deadline to complete this form is January 19, 2024. Following the receipt of the form, you will receive an email confirmation with additional deadlines and an invoice. If you have any questions, please don’t hesitate to reach out to Amie Pariseau info.nh.edies@gmail.com or 603.228.9585.

Organization Name *Council for Exceptional Children NHExtended Learning Opportunities NetworkNH Art Educators AssociationNH Association for Supervision and Curriculum DevelopmentNH Association of Family and Consumer SciencesNH Association for Health, Physical Education, Recreation and DanceNH Association of School Business OfficialsNH Association of School PrincipalsNH Association of School PsychologistsNH Association of Special Education AdministratorsNH Association of World Language TeachersNH Business Education AssociationNH Charitable Foundation-Christa McAuliffe Fellowship ProgramNH Council for the Social StudiesNHCTA / NH-CTENH CTO CouncilNH Department of EducationNH Music Educators AssociationNH School Administrators AssociationNH School Boards AssociationNH School Counselors AssociationNH School Library Media AssociationNH School Nurses AssociationNH Society for Technology in EducationOtherPSU Holmes Center for School Partnerships & Educator PreparationPresidential Awards for Excellence in Mathematics and Science

If Other, please contact info.nhedies@gmail.com.

Award Name *

Award Name (If awarding more than one award.)

Organization Contact Name *

First

Last

Address Line 1 *

Address Line 2

City *

State *

Zip *

Business Phone *

Cell Phone *

Email *

Fax

Website *

Social Media Handles *

Facebook, Instagram, LinkedIn, Twitter

Logo *

Click or drag a file to this area to upload.

We will be participating at this year's event. *

• Yes
• No

We will be selecting an Annual Award Recipient. *

• Yes
• No

We will have ____ recipient(s) in 2023. * Please fill out the information below for all recipients. *

• One
• Two

How many seats will your organization use at the event? *012345678910

Your contribution includes a table of ten seats- two for the award winners and eight for your organization. If you have two award winners, and would like to purchase a second table, please contact info.nhedies@gmail.com.

How many seats will your organization provide to the award recipient/ guests? *2345678910

The organization has not yet selected a recipient; however, we will submit that information by the recipient information deadline of March 15, 2023. *

• Yes
• No

The organization has already selected a recipient. * If yes, please complete the below for each recipient. *

• Yes
• No

Recipient's Name (1st Award)

First

Last

Award Name (1st Award)

School (1st Award)

School Address Line 1 (1st Award)

School Address Line 2 (1st Award)

City (1st Award)

School Telephone (1st Award)

Recipient's Home Address Line 1 (1st Award)

Recipient's Home Address Line 1 (2nd Award)

City (1st Award)

State (1st Award)

Zip (1st Award)

Email (1st Award)

Recipient's Name (2nd Award)

First

Last

Award Name (2nd Award)

School (2nd Award)

City (2nd Award)

School Telephone (2nd Award)

Recipient's Home Address Line 2 (2nd Award)

Recipient's Home Address Line 2 (2nd Award)

City (2nd Award)

State (2nd Award)

Zip (2nd Award)

Email (2nd Award)

Submit