23-24 Community Recognition Awards Outstanding School Employee 
NOMINATION FORM
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Email *
Name of Group or Individual Making the Nomination: *
Contact Address: *
Contact Phone Number: *
Nominee: *
Holt Public Schools Current Position: *
Total length of tenure in all positions at Holt Public Schools: *
Describe the nominee's significant contribution to and its impact on Holt Public Schools in his/her/their employment capacity, citing specific examples where possible: *
Holt Public Schools Past Employment as:
Provide examples of how his/her/their involvement with Holt Public Schools as a school employee or as a community member and/or volunteer has provided significant additional impact: *
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