Washington Organization for Reading Development

Partnership Award
Nomination Form
 

Name of Nominee:

Nominee's Address:

City, State, ZIP:

Local Council Nominating:

Council President:

President's Address:

City, State, ZIP:

Council President's home phone:                       work phone:

Council President's Email:

Project Chair's home phone:                             work phone:

Project Title:

Description of Project (50 words or less):









Target audience:

Description of involvement in the project by both local council and Partner:

 

Evidence of impact on community (number of people served and/or affected):





You may, but are not required to, submit a letter of recommendation, press releases, photographs, etc.