Nomination Form

Wisconsin Dance Council Awards Nomination Form
(Please type or print carefully)
DEADLINE – December 15, 2017

1. Category of Award __________________________________________________
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2. Nominee   (Please include nominee’s vita and or resume)  ___________
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3. Present or Past Positions__________________________________________
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4. Home Address_______________________________________________________
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E-Mail Address _______________________________________________________

5. Work Address________________________________________________________
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E-Mail Address_________________________________________________________

6. Summary of the nominee’s qualifications for award: _________________
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7. Nominated by: _____________________________________________________
Address _______________________________________________________________
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E-Mail Address_________________________________________________________
Telephone: ____________________________________________________________

Send completed forms to:

Wisconsin Dance Council
P.O. Box 707
Madison, WI 53701-0707

or E-mail: info@wisconsindancecouncil.org

Please note: Current WDC Board Members are not eligible for an award. The WDC Board approves the final Awards. Not all awards are necessarily given each year.