Vivian Gussin Paley Award Nomination Form

Please complete the following form to nominate a classroom teacher whom you think should be considered for this award. Make sure to answer all the questions.

This nomination form must be submitted no later than Mar 20, 2012, either online or by mail to:

F. Reitzes WPSC
92nd Street Y
1395 Lexington Avenue
New York, NY 10128

* = required