EPLC LEADERSHIP NETWORK
DISTINGUISHED SERVICE ALUMNI AWARD NOMINATION

This award has been established to recognize graduates of EPLC Leadership Programs - the Pennsylvania Education Policy Fellowship Program (EPFP) and the Institute for Community Leadership in Education (ICLE) - who have distinguished themselves as leaders and champions for children and youth through their work as educators, policymakers, or advocates. Please submit this form online or print and fax nominations to 717-260-9903.

I nominate the following person for the Distinguished Service Alumni Award:


Graduate of (Please check one and indicate year of graduation):
Pennsylvania Education Policy Fellowship Program
Institute for Community Leadership in Education
       Berks County Harrisburg
       Lehigh Valley Pittsburgh

The EPLC Leadership Network should recognize this person as a Distinguished Alumnus because (Provide reasons for the nomination):