Celebration of Literacy Nomination Form

Nominee’s Name:

Award Category

Literacy Learner of the Year
Outstanding Service to Literacy
Innovative Program of the Year
Outstanding Achievement in Workforce
Outstanding Achievement in Health Literacy

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Nominator’s Name:

Nominator's Email Address

Nominator's Phone Number

Member Organization (if applicable):

Nominee Attendance

The nominee can attend the award ceremony on April 29th
The nominee can have a representative attend on his or her behalf (ONLY COURAGE AWARD)

Describe challenges the nominee overcame (ex. barriers to employment, learning English, incarceration) or the issue they addressed (ex. low literacy, employee safety, health literacy)?

Tell us what the nominee has achieved.

Submit Photo for Nominee Slideshow at Celebration

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