Request edit access
JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Teacher of the Month Program
Nominate your favorite teacher and tell us why this individual should be recognized by the Rotary Club of Lake Mills. Nominations received after the 15th of the month will be considered for the following month.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
The teacher I would like to nominate is...
*
Your answer
School where the teacher works
*
Lakeside Lutheran High School
Please explain why this teacher should be recognized and how they go above and beyond for the students, how they make a difference in their school and/or community, etc.
This teacher deserves to be recognized as the Teacher of the Month because...
*
Your answer
Your name
*
Your answer
Your phone number
*
Your answer
Send me a copy of my responses.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This form was created inside of Lakeside Lutheran High School.
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report
