Diller Award for Excellence Nominator Application

Name of nominator *

Title

School / Institution

Street address *

City *

State *

Zip *

Daytime telephone number *

Email address *

Name of nominee *

Your relationship to the nominee *

Nominee's email address *

Nominee's current position

Nominee's years of service at your school *

Current number of teaching hours per week *

Nominee's total years of service in programs of Jewish education *

For which award would you like the nominee to be considered? *

Early childhood

Day school

Congregational or community school

Informal education (outside of a classroom)

How does this person demonstrate a commitment to excellence in Jewish education and a dedication to teaching?

How does this person exemplify Jewish values and serve as a role model through personal involvement in the Jewish or general community?

How does this person nurture and/or motivate a young person's growth and development?

What outstanding initiatives has this educator brought to your institution or community?

How did you hear about this award program?

Can you please provide a brief (1 paragraph) professional bio for yourself?

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