Washington Organization for Reading Development

Author/Illustrator/Storyteller Award
Nomination Form

Please attach artifacts to document council advocacy activity.

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:

State reasons for nomination:
(additional sheets may be used if needed)