MACTA

Minnesota Association for
Career & Technical Administrators

AWARDS Nomination Form

MACTA MEMBER NAME:________________________________________________________

Date:_______________ School:__________________________________________________

Address: _____________________________________________________________________

City:____________________     State: _______  Zip: ____________

Telephone:(        )                                        Fax: (        )                               Email:                                     

Nominee Information:

Name:                                                                                                                  

School Employee:                                                                                                

Business or School Name:                                                                                  

Address:                                                                                                              

City:                                                  State:                             Zip:                      

Telephone:(        )                 Fax: (        )                  Email:                                 

CATEGORY:

[] Educator
[] Partner
[] Advisory Member
[] Administrator (Spring Only)

Nomination Rationale: Attach one (1) typed page per nominee.

Jean Rakun
jean.rakun@wayzata.k12.mn.us
Wayzata High School
4955 Peony Lane
Plymouth, MN 55446-1600