EXCEPTIIONAL THANK--YOU LETTER NOMIINATIION EXCEPT ONAL THANK YOU LETTER NOM NAT ON
DETAIILS OF TEACHER BEIING NOMIINATED DETA LS OF TEACHER BE NG NOM NATED Full Name: Date of Birth: RP Number (if known): / /
DETAIILS OF SCHOOL DETA LS OF SCHOOL School Name: LEA & School Number: Position at School: Years service at school:
RETIIREMENT // PRESENTATIION DETAIILS RET REMENT PRESENTAT ON DETA LS Date of Retirement: Last day of service: Letter to be given at presentation: If yes, date of presentation:
YES / NO (delete as appropriate)
To whom should the letter be addressed care of: Address details if different to school:
REASON FOR NOMIINATIION REASON FOR NOM NAT ON
(The reason for nomination should include specific examples to explain why the teacher should receive an exceptional thank you letter. Examples will need to demonstrate how the teacher has performed (or demonstrate what the teacher has achieved) beyond their usual role. Please continue on a separate sheet if necessary).
DETAIILS OF NOMIINATOR DETA LS OF NOM NATOR Name: Status/Position at school: Date:
Signature:
Please return to: Pensions Medical Fitness Team 2nd Floor, Area B Department for Education and Skills Mowden Hall Darlington County Durham DL3 9BG Email: ppact.enquiries@dfes.gsi.gov.uk