Name of Nominee______________________________________________________
Years of nominee's ACEI Membership_________________________
Home Address: ________________________________________________________
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City _________________________ State/Province _______________________
Postal Zone __________________ Country _____________________________
Home Phone Number (Include Country Code) __________________________
Home Fax Number (Include Country Code) ____________________________
Home E-mail Address: _____________________________
Nomination submitted by (Your name) ______________________________________________________
Home Address: ________________________________________________________
_____________________________________________________________________
City _________________________ State/Province _______________________
Postal Zone __________________ Country _____________________________
Name of the Local, State/Province/or National Branch of the person submitting nomination:
_____________________________________________________________________
Outstanding service performed by nominee on behalf of children, teachers or
ACEI (written evidence supporting the services must accompany this nomination)
_____________________________________________________________________
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_____________________________________________________________________
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ACEI involvement of nominee (list offices held, conferences attended, membership
on ACEI committees, etc.)
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
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Please return to ACEI Headquarters by February 15.
Attn: Outstanding Member Service to ACEI Nomination
Association for Childhood Education International
17904 Georgia Avenue, Suite 215
Olney, MD 20832 U.S.A.
Tel: 1 (301) 570-2111 ** Fax: 1 (301) 570-2212 ** E-mail: aceihq@aol.com
Return to ACEI home page.
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1996-2004
by the Association for Childhood Education International. Please send any comments
to Marilyn Gardner at aceimemb@aol.com.