Washington Organization for Reading Development

Literacy Award
Nomination Form

You may, but are not required to, include a short biography
and/or letters of recommendation.

Name of Nominee:

Nominee's Address:

City, State, ZIP:

Date Nominee received local council Celebrate Literacy Award:

Local Council Nominating:

Council President:

President's Address:

City, State, ZIP:

Council President's home phone:                       work phone:

Council President's Email:

Briefly describe activities of nominee.
(additional sheets may be used if needed)