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TLC nomination form

  1. ** this will be used as a contact number in case of emergency or cancelation due to weather.

  2. Our district will support this candidate's attendance at each Greenbush Teacher Leader Cadre event. Our district will help promote the leadership of this teacher in activities in our district.*

  3. We, the nominator and the nominee, both understand that participation in TLC will result in a Greenbush Certified Micro-Credential which may have some requirements outside of class.*

  4. Teacher Leader Cadre Micro-Credential is marked as an SIS selectable for my district.*

  5. We understand that dates MAY be subject to change based on guest speakers, weather emergencies, and collaborative events with other leadership groups.*

  6. For questions, contact Nikki Heiman at

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  8. This field is not part of the form submission.