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Golden Apple Award Nomination Form

The Golden Apple Award recognizes K-12 TALB members that have earned the respect and admiration of their colleagues. TALB members may submit nominations for this award by completing this nomination form by Friday, March 24, 2017.

Eligibility for Nominees:

  • Must be a TALB member.
  • Must be a K-12 teacher, school nurse, teacher librarian, speech & language pathologist, facilitator, or specialist.
  • Must demonstrate dedication towards the children, staff and co-workers, and parents.
  • Must exhibit awareness, understanding, and respect for cultural and family diversity.
  • Receive at least (3) THREE nominations (at least two from fellow TALB members).
Nominator's information
Your First Name Here
Your Last Name Here
Nominator's Contact Phone
Nominator's Contact Phone
Nominee's information
The first name of the person you are nominating.
The last name of the person you are nominating.
Nominee's Contact Phone
Nominee's Contact Phone
Segment *
Choose at least (3) three of the categories below (A through e) on which this nomination is based and write a statement of support under each chosen category.
Optional supporting materials

NOTE FOR NOMINATORS: REMEMBER TO WRITE AT LEAST (3) STATEMENTS OF SUPPORT FOR CATEGORIES A THROUGH E ABOVE BEFORE SUBMITTING YOUR NOMINATION FORM.

A nominee must receive at least three nominations (two from TALB members) in order to be considered for this award.