Nomination Form – Distinguished Faculty

I, _________________________, am pleased to nominate ____________________________, 
        nominator’s name					                         nominee’s name

for the award Distinguished Faculty of Camrose Composite High School. This nominee taught at 

CCHS from ____________ to ___________.
                     	year                           year

Please provide a biographical description of the candidate, including 
reasons why you believe that this person is a worthy candidate for this award.

Nominator’s Demographics	Nominee’s Demographics	
Address:

	Address:

City/Province:
	City/Province:	
Postal Code:
	Postal Code:	
Phone Number:
	Phone Number:	
e-mail address:	e-mail address:

________________________________				___________________________________
Date								Nominator’s signature