MINNESOTA INDIAN EDUCATION ASSOCIATION
25th ANNUAL CONFERENCE
OCTOBER 7-8, 2009
AWARD NOMINATION FORM
Category ______________________________________________________________
Name of Nominee_______________________________________________________
Tribal Affiliation of Nominee________________________________________________
Title of Nominee (If applicable)_____________________________________________
Place of Employment/School_______________________________________________
Please note: We receive several nominations in each category. The basis for our decision is made on the information you provide. Please be as thorough and comprehensive in addressing the following topics as possibble. Often nominations with more complete information receive higher ratings than those with sketchy or incomplete information.
Please attach a separate essay with this sheet addressing the following:
A. 
STUDENT ONLY: List Achievements/Grades (transcript required)
STUDENT ONLY: List Achievements/Grades (transcript required) ALL OTHER CATEGORIES: List Experience within Indian EducationB. What is this person's role in the education community?
What is this person's role in the education community?C. List the awards/recognition the nominee has received.
List the awards/recognition the nominee has received.D. What makes this person a good role model/leader?
What makes this person a good role model/leader?E. How is American Indian culture reflected in their life/work style?
How is American Indian culture reflected in their life/work style?Nominated by___________________________________________________________
Address______________________________________________________________
Daytime Telephone______________________________________________________
E-mail:______________________________ Fax: _____________________________
I certify that I am a member in good standing of MIEA and that all required materials accompany this nomination.
___________________________________________________________
______________________Signature of NominatorDate
DateRequired materials must accompany this nomination form to be considered " complete". If not complete, this nomination will not be accepted. The complete nomination packet must be received by September 30, 2009 for consideration.
Mail to: Minnesota Indian Education Association, P.O. Box 1210, Cass Lake, MN 56633
Attn. Billie Annette
FAX: (218) 335-8496
