Name of Nominee ______________________________________

School(s) ____________________________

Years of Service in Brookline _______

Position (s) ___________________________________________________

Name of Nominator(s) ___________________________________________

Signature(s) ________________________________

______________________________________________________

Please print and attach this form to the letter stating why you have selected this person for nomination. Thank you.

DEADLINE: Nominations must be submitted by Friday, January 15, 2008, to the Robert I. Sperber Award Nomination Committee, c/o The Brookline Education Foundation, PO Box 470652, Brookline MA 02447 .