OMLA Oregon Middle Level Association Award Nomination Form

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Award Nomination Form

Oregon Middle Level Association
“Together, celebrating the uniqueness of the middle level experience through advocacy and professional support”

Each year, at OMLA’s annual conference, we confer awards on a group of individuals who have distinguished themselves through their efforts to make middle schools a better place for early adolescents to learn. Read the curricula for the awards on our OMLA Awards page and then fill in this page and submit to OMLA. Help give a deserving person their due!

The awards we present are:

Dave Putnam Award - OMLA’s educator of the year award. Awarded to one educator a year.

John Pence Award - OMLA’s recognition of contributions to the advancement of middle school education. Awarded to up to 7 persons a year.

Patti Kenney Award - OMLA’s recognition of distinguished service to the advancement of middle school education at the local, state and National level.

Pete Lorain Award - OMLA’s recognition of a lifetime of service to the advancement of middle school education at the local, state and National level.

OMLA Awards Request Form

Your Name*

Your relationship to the nominee (e.g. Colleague,
Principal, etc.)*

Your E-Mail*

Your Telephone Number*

Award Nominee's Name*

Nominee's Position (e.g. 6th grade teacher,
principal, etc.)*

Nominee's School, District or Association with
middle schools*

Nominee's E-Mail

Nominee's Telephone Number*

Nominee's School Address*

I am nominating this person for the:

A description of the section goes here.

Please check the one award which best fits the
Nominees actions*

Dave Putnam Award

John Pence Award

Patti Kenney Award

Pete Lorain Award

I believe my nominee should receive this award
because...*

Give the OMLA one paragraph about your nominee
which could be read at the awards ceremony.*

Give the OMLA three sentences which could be used
for inclusion on our website.*

Thank you for taking the time to complete this
form. There are many deserving persons out there
who work hard every day but get little or no
recognition. Your nomination will be a bright spot
in their day.

A description of the section goes here.

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I am nominating this person for the:

Thank you for taking the time to complete thisform. There are many deserving persons out therewho work hard every day but get little or norecognition. Your nomination will be a bright spotin their day.

Thank you for taking the time to complete this
form. There are many deserving persons out there
who work hard every day but get little or no
recognition. Your nomination will be a bright spot
in their day.