Awards Nomination Form

MAHPERD Award Nomination Form

Please check award that you are nominating(Required)

Joseph McKenney Award

Honor Award

Health Teacher of the Year Award

Amelia Riou Award for Adapted Physical Education

Inspirational Dance Award

Inspirational Pathfinder Award

Does this person meet all the criteria for the award?(Required)

This person meets all the criteria for the award

Full Name of Nominee(Required)

Position(Required)

School/Business Name(Required)

Home Address

Home Phone

Email(Required)

Nominated By(Required)

Nominating Person's Phone(Required)

Nominating Person’s Email Address(Required)

IMPORTANT — Why are you nominating this person? Submission deadline is Monday, November 23, 2026(Required)