Teacher of the Month Nomination Form
Email address *
Please tell us who you are: *
Name of Nominee: *
Your answer
Date: *
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DD
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YYYY
Name of School: *
Your answer
Grade Taught: *
Subject: *
Your answer
Name of Submitter: *
Your answer
Is it ok to mention your name as the submitter? *
Why do you believe this person should be considered for the award? What separates this person from his/her peers?
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The Purpose of the Farmers Hero Program
The Farmers Heroes Program is designed to recognize outstanding teachers for their contributions to their school, excellence in the classroom, leadership, innovation, community involvement, dedication, and work on behalf of Grayson HS/Grayson Tech. students grades 9- 12.

Each month, Farmers will recognize one teacher from Grayson HS/Grayson Tech. Nominations may be submitted by school principal, faculty, staff, students and parents.

Regardless of the outcome, Farmers Heroes would like to stress that the real tribute of this award is the nomination. It symbolizes the esteem and appreciation we have for our teachers.

II. Qualifications
To be eligible for a Teacher of the Month Award, a teacher must demonstrate one or more of the following:
• Excellence in the Classroom – Consistently advancing students to higher levels of academic achievement.
• Motivation – Encouraging students to exceed their expectations both academically and socially.
• Leadership – Serving as a leader in the classroom and throughout the school.
• Community Service – Demonstrating civic responsibility by being active in community or other service organizations.
• Creativity and Imagination – Demonstrating innovation in lesson plans and teaching methods.
• Dedication – Showing excellent attendance, punctuality and a desire to see students succeed.
• Communication – Articulate, clear, and effective instruction in the classroom and beyond.

III. Nominations
The nominations for each month are due by the 2nd of the following month (i.e. nominations for August are due by September 2nd). Nominations received after the deadline will be added to the following month’s nominations.

IV. Selection & Presentation
Farmers Insurance will review all nominations and select the winning nominee. The school will be notified as soon as the winner has been selected. The official presentation will take place as determined by the school and/or the winner.

V. Rewards
Teacher of the Month recipients will be rewarded with:
• A Certificate of Excellence
• 7-10” Tablet
• Picture and mention on the Farmers Insurance Website

A copy of your responses will be emailed to the address you provided.
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