Friends of Literacy Honor Roll Nomination Form

About WSRA

Board of Directors

Calendars

Committees

Convention

Exec Committee

General Assembly

Local Councils

Membership

Minutes

Resources

Task Force

WSRA Online!

Please fill in all information to complete this ONLINE form. By clicking on the "Submit Form " button, your information will be directly emailed to:

Patricia Vickman, Chair
Awards & Honors Committee
Webster Stanley Elementary School
915 Hazel Street
Oshkosh, WI 54901-4057

DEADLINE:
Entries must be postmarked on or before November 1 of each year.
Entries postmarked after November 1 will not be considered.

* Nominee and e-mail address

* Address

* City/State/Zip

* Home Phone/Work Phone

* School

* School Address

* District

District Address

* Nominator and e-mail address

* Nominator Address

* City/State/Zip

* Home Phone/Work Phone

* Signature of Nominator (WSRA Membership Number)

Please provide the name and address of the library which will receive the $100 award if this nominee is chosen to be honored.

* Library Name

* Name of Contact Person at Library

* Address of Library

* City/State/Zip

* Phone Number of Library

For publicity purposes, please provide the following information:

Name of Nominee's Local Newspaper

Address of Newspaper

* = Required Field

This page last updated September 17 2006