MIME-Version: 1.0 Content-Location: file:///C:/5E74468D/MACTAAWARDSNOMINATIONFORM.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii" MACTA AWARDS NOMINATION FORM

MACTA

Minnesota Association for
Career & Technical Administrators
AWARDS Nomination Form<= /p>

 

MACTA Member Name:        &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;     

Date:  = ;            &n= bsp;            = ;            &n= bsp;         School:         &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;        <= /b>

Address: &n= bsp;            = ;            &n= bsp;            = ;            &n= bsp;            = ;            &n= bsp;            = ;            &n= bsp;         =

City:  &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;         State:         &= nbsp;           &nbs= p;       Zip:            &nbs= p;          =

Telephone:(        )        &= nbsp;        Fax: = (        )        &= nbsp;         Email:<= span style=3D'mso-tab-count:1'>        &= nbsp;           &nbs= p;             =

 

Nominee Information= :

 

Name:  = ;            &n= bsp;            = ;            &n= bsp;            = ;            &n= bsp;            = ;            &n= bsp;            = ;             <= /span>

School Employee:=             &nb= sp;            =             &nb= sp;            =             &nb= sp;            =             &nb= sp;         <= /span>

Business or School Name:            =             &nb= sp;            =             &nb= sp;            =             &nb= sp;        =

Address: &n= bsp;            = ;            &n= bsp;            = ;            &n= bsp;            = ;            &n= bsp;            = ;            &n= bsp;         =

City:  &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;         State:         &= nbsp;           &nbs= p;       Zip:            &nbs= p;          =

Telephone:(        )        &= nbsp;        Fax: = (        )        &= nbsp;         Email:<= span style=3D'mso-tab-count:1'>        &= nbsp;           &nbs= p;             =

 

CATEGORY:

 

 <= /span> Educator

 <= /span> Partner

 <= /span> Advisory Member

 <= /span> Administrator <= span style=3D'font-size:14.0pt;font-family:Arial'>(Spring only)

 

Nomination Rationale:  A= ttach one (1) typed page per nominee.

 

 

Mumma, Steve
steve.mumma@wayzata.k12.mn.us
Wayzata High School
4955 Peony Lane
Plymouth
MN
55446
763.745.6638=