THE NIAGARA CATHOLIC EDUCATION AWARD
This information is being collected pursuant to the provisions of the Municipal Freedom of Information and Protection of Privacy Act and under the Authority of The Education Act., and will be used to identify nominees for The Niagara Catholic Education Award of Distinction.
Questions about this collection should be directed to P a t R o c c a , Superintendent of Education, Niagara Catholic District School Board, 427 Rice Road, Welland, Ontario, L3C 7C1 905-735-0240
NOMINEE | |||
FIRST NAME | LAST NAME | GROUP NAME (if applicable) | |
STREET ADDRESS | |||
CITY | POSTAL CODE | TELEPHONE | |
NOMINATED BY | |||
FULL NAME | PHONE NUMBER | ||
ADDRESS | SIGNATURE | ||
See Contribution to Catholic Education form to be completed on reverse |
FULL NAME
PHONE NUMBER
ADDRESS
SIGNATURE
FULL NAME
PHONE NUMBER
ADDRESS
SIGNATURE
FULL NAME
PHONE NUMBER
ADDRESS
SIGNATURE
ENDORSED BY
DATE OF SUBMISSION: January 31, 2024TO BE FORWARDED TO
Melissa Ciarlo, Administrative Assistant 905-735-0240 ex 234 melissa.ciarlo@ncdsb.com
CONTRIBUTION TO CATHOLIC EDUCATION FORM
Nominee has made a notable, significant, and positive contribution to Catholic education:
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Nominee has demonstrated leadership that has impacted and/or transformed the Catholic character of the Board:
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Nominee displays the belief that the Catholic faith is possible in all aspects of education:
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Nominee has worked to build community and the idea of the Christian community among Catholic schools, the Niagara Catholic District School Board, and the Diocese:
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Nominee has accompanied students on their Catholic faith journey:
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Nominee has demonstrated a commitment to Catholic education:
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Nominee demonstrates an advocacy for Catholic education in Niagara:
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Additional Notes:
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DATE RECEIVED: RECEIVED BY :