RIAHPERD 2008 2009 Awards Nomination Form
Award (Check One)
Health Educator of the Year
Teacher of the Year - Physical Education Elementary Middle Secondary Adapted P. E.
Dance Educator of the Year
Recreation RecognitionHonor Award
Meritorious ServiceI am nominating:
Name
Work Address
Home Address
Home phone Work phone
Nominated by
Address
Phone (H)
(W)Directions for submitting this form: 1. You can print this form out and mail it through the U.S. Postal Service to the address below, or 2. You can highlight, copy and paste it into a word document and send it as an attachment to Shawna at ride9478@ride.ri.net.
Return this form no later than August 17, 2009 to:
Shawna J. Southern - 20 McTeers Ct., West Warwick, RI 02893