OUTSTANDING ADMINISTRATOR/COORDINATOR Nomination Form – Indiana Association for Adult and Continuing Education

Outstanding Administrator/Coordinator 2023

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Criteria for Award*

A current member of IAACE must submit the nomination.

The nominee must be a member of IAACE and currently working in adult education.

The nominee must have at least one full year experience as an administrator.

Nominee Name*

First Last

Nominee Address*

Street Address Address Line 2 City State ZIP Code

Nominee Phone*

Nominee Email

Nominee Program Name*

Nominee Program Address*

Street Address Address Line 2 City State ZIP Code

Nominee Program Email*

Nominee Program Phone*

1. How long has the nominee been an IAACE member? Does the nominee serve on any IAACE, state, or local committees? If so, which ones?

2. Nominee’s job description; include job responsibilities, classes taught, and populations served:

3. Describe the program’s certified and support staff:

4. What does this administrator do that goes “above and beyond” the expected responsibilities of the job?

5. List any hobbies, volunteer, or charitable work.

6. Other Supporting Statements:

Nominator Name*

First Last

Nominator Organization*

Nominator Address*

Street Address Address Line 2 City State ZIP Code

Nominator Phone*

Best number to reach you

Nominator Email*

Enter Email Confirm Email

Relationship to Nominee*

Date