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Nomination Form

The next nomination period is Friday, July 1, 2016 – Monday, May 1, 2017. Please submit any nominations between those dates.
After the selection process has been completed, nominators and students will be notified no later than Monday, May 8, 2017


To be considered in selecting a nominee. The nominee:

  1. is an adult with significant life responsibilities, such as those related to employment.
  2. has made positive contributions to the community as an adult education student and/or as a community member.
  3. has established and met life goals as a result of attending an adult education program.
  4. has improved the life situation of self/others as a result of learning experiences.
  5. has overcome difficult circumstances in order to pursue adult learning experiences.
  6. Download the scoring rubric.
  7. Read about the process.
Nominee Contact Information




About the nominee

About the program

Nominator contact information