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1145 S. Barr St    Fort Wayne, Indiana 46802    (260) 423-1511   1-800-837-1145

Nomination for
Dr. Arthur L. Amt LUTHERAN SCHOOL TEACHER of the Year Award
 Indiana District - Lutheran Church - Missouri Synod

Enter the information below for your submission

Your Name:

Contact Number:   email:

 

Nominee’s name:  

Address :

City:     State:  

Zip:

Home Phone:    (example 123-456-7890)

Work Phone:     (example 123-456-7890)

Congregation with City & State:

 

Position: 

Number of years in this position: 

Why should this person receive the award?:
 

DEADLINE FOR NOMINATING IS APRIL 11
 

 

 

 

















                                              


                                                                        

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