Mona Shores Education Foundation

Excellence Award I wish to nominate: _____________________________________________School: _____________________________________________Position: _____________________________________________Nominated by: _____________________________________________Address: _____________________________________________

Please describe reasons for nomination below:

(Feel free to continue on another sheet and/or attach letter.)

Cite exceptional accomplishments in his/her career:

_____________________________________________

Cite exceptional services provided outside their field to students and/or school district:

_____________________________________________

Cite exceptional personal characteristics of nominee:

_____________________________________________

Return completed form and attachments to:

Mona Shores Education Foundation

Mona Shores Excellence Award Nominations

3374 McCracken Street

Norton Shores, MI 49441

Or submit electronically to

msefexcellencenom@live.com

Nominations must be received by June 30, 2010.