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Doris Barnes Lifetime Achievement Award
Nomination Form
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Doris Barnes Lifetime Achievement Award Nomination Form
Nominee's Name
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Nominee's Address Line 1
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Nominee's Address Line 2
Nominee's City
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Nominee's State (nominee must have taught in NH)
Nominee's Zip Code
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Nominee's Phone Number
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Nominee's Email Address
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Total years as full-time educator (Required: 20 years minimum)
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Teaching Experience
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Other experience(s) in the education field before retirement
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Past honors, awards, or accomplishments
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Volunteer activities since retirement (List those related to education first)
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Please write a brief paragraph describing how the nominee has stayed involved with education or other vital issues related to education since retirement.
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Submitted by
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How do you know the nominee?
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Your Phone Number
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Your Email
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Submit
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