Association for Education and of the Blind and Visually Impaired of Ohio Rehabilitation

AERO Nomination Form for State Awards

 I wish to make a nomination for the category of (check one):

(  )  Cozier Award (  )  Educator of the Year
(  )  Student of the Year (  )  Special Recognition Award
 
Name of nominee______________________ Position or School_____________________
Address______________________________ City___________State___Zip______
Phone number of nominee(if selected) ____________________________

Please attach a brief letter to respond to the following: 

1.       Why do you consider this person/group to be outstanding?  Provide specific examples.  Explain why you believe this nominee deserves recognition by AERO.  You may attach written corroborating statements from other individuals or organizations that support the nomination.  You may also attach copies of news clippings, documents, or other evidence to support the nomination.

 

2.       Describe the nominees significant work history/experience and education as they relate to the nomination.  (For students, list grade, school attending, major, etc.) 

 

 

 

 

3.       List the candidates membership in school, volunteer,  professional, and/or  community activities/organizations.

 

  

4.       List honors, awards, citations, or other forms of recognition accorded the nominee relevant to the nomination.

  

5.       For Cozier Award, describe candidates past and current work or volunteer responsibilities and length of service.  In detail, what has the nominee accomplished in the total field in during his career so far?

  

6.       For all awards, please add any additional information you feel is important in the selection of this individual or group.

This nomination is submitted by: Signature___________________________
Print name__________________________ Date_________________
Position____________________________ Phone________________
Street Address_______________________ City________________State____Zip_____
Employer___________________________

Please mail no later than SEPTEMBER 30, 2006 to:

 Sue Drewette, AERO Awards Chair
4851 Woodridge Drive
Youngstown, OH 44515
(330) 270-5265
submit by email to Sue at: qduzbraille@sbcglobal.net