Outstanding Service Award Form

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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 (Council)

* Council President's Signature (WSRA Membership Number)

*Nominator Email Address

* Nominator Address

* City/State/Zip

* Home Phone/Work Phone

* = Required Field

This page last updated October 26 2006