“OSEF/Janine Pieper Niolon

Teacher of the Year”

Ocean Springs School District

To Be Awarded Annually

DEADLINE FOR NOMINATIONS IS SEPT. 30th!

Initial Nomination Form –

Use this original nomination form only

Nomination must come from a student (past or current) – parental assistance is permitted

Nominee must be an educator now working in the Ocean Springs School District

Print or type all information and submit this original Nomination Form

Nominating Student General Information

Name:
Address:
City/State/Zip:
Phone: / Cell: / Other:
E-mail:
DOB:

School Information (If Applicable)

School Attending:
Current Grade:

Parent Assisting with Nomination (If Applicable; Note: Parent or Guardian Signature is required on Form)

Name: / Relationship:

Nominated Teacher General Information

Name:
School:
Grade and/or Subject Taught:
Year(s) Nominator Was Student of Nominated Teacher:
School (If Different Than Current School):

“I have had many teachers in my life time, and many more to come,

But there is one person that sticks out to me…”

-- Pieper Niolon

Personal Statement (Briefly describe this educator’s commitment to innovation in education.

Please include a specific instance or example of how the teacher made an impact on your life.

Why should this teacher be named the OSEF/Janine Pieper Niolon Teacher of the Year?)

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Student Signature: ______Date: ______

Parent/Guardian Signature: ______Date: ______

NOTE: The “OSEF/Janine Pieper Niolon Teacher of the Year” Award was established in 2012 in honor of then OSEF Treasurer Jan Niolon and her daughter Pieper. The OSEF Awards Committee reviews all nominations received by September 30th and selects a number of teachers to participate in a more detailed selection process.

We thank you for your nomination and for your support!

Please mail completed and signed Nomination Form to OSEF, P.O. Box 1983, Ocean Springs, MS 39566. (Nominations may be submitted at any time, but only nominations received by September 30th will be considered for the current year’s award).

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For OSEF Use Only

Received By / Date

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