Nomination Form

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Nomination Form

This award recognizes and rewards exemplary energy educators in the state of Wisconsin who have made energy education a priority in their teaching and outreach initiatives.

The Wisconsin K-12 Energy Education Program (KEEP) annually sponsors the Energy Educator of the Year Award. KEEP is funded by six Wisconsin utility companies, and housed at Wisconsin Center for Environmental Education (WCEE), a Center of the College of Natural Resources, at University of Wisconsin-Stevens Point.

We are seeking nominations of educators who demonstrate strong commitment to fostering energy literacy in their school and community. Two awardees will be selected this year, with preference given to educators impacting K-12 school communities, including students, teachers and families.

For more information about the application requirements, recognition benefits, and to view past awardee profiles, visit: https://www.uwsp.edu/cnr-ap/KEEP/Pages/Networking/Energy-Award-Info.aspx

Instructions

We encourage you to collaborate with a team familiar with the nominee's efforts to complete the nomination as follows:

1) Complete the form below.
2) Submit up to two letters of support (optional).

Annual Deadline: April 10

Questions? Contact 715.346.4770 or email keep@uwsp.edu

Nominee Information

Name *

Title *

School/Organization *

School District *

Email *

Your Information

Name *

Title & School/Organization *

Email *

How do you know this nominee? *

References

List two references below who are aware of the nominee and would support this nomination.

Highly recommended (optional): Submit up to 2 letters of support from references who are familiar with the nominee's efforts. Send letters electronically to KEEP@UWSP.EDU as PDF attachment or provide a link to the letter in Google Docs. Due by the application deadline.

Reference #1

Name *

Title & School/Organization *

Email *

Reference #2

Name *

Title & School/Organization *

Email *

Should KEEP expect to receive letters of support (optional) for this nomination? *

Yes

I'm not sure yet

For publicity purposes, please provide the following information:

Name & email of the nominee’s Principal and/or direct supervisor *

Name & email of the nominee’s school/organization's Communications/PR Manager *

Name of nominee’s local newspaper *

Nominee’s Qualifications

A wide variety of exceptional examples will help the award reviewers determine the appropriateness of the nominee for this award. Give the award reviewers an excellent picture of what and how this nominee has helped advance energy awareness, understanding and action in their community.

Highly recommended: Collaborate with a team familiar with the nominee's efforts to complete the following section before submitting.

Refer back to Eligibility and Selection Criteria, https://www.uwsp.edu/cnr-ap/KEEP/Pages/Networking/Energy-Award-Info.aspx. (Link will open in a new page. You will not lose your application in progress.)

How many years has the nominee been actively educating people about energy? *

What notable qualities make this nominee worthy of this award? (250 words or less) *

Describe efforts or accomplishments the nominee has made when it comes to fostering energy literacy in their school and community. (500 words or less) *

Describe how the school and/or community have benefited from the nominee’s efforts listed above. (250 words or less) *

Describe what steps the nominee has taken to be more equitable and inclusive in their interactions with students, colleagues and/or community. (250 words or less) *

List the approximate number of people directly impacted annually by the nominee’s energy education efforts in each category:

Students *

Teachers *

Community Members *

Submit

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