Educator in Literacy
Nomination for EDUCATOR Literacy Award - DEADLINE: MUST BE ELECTRONICALLY SUBMITTED BY JANUARY 15!
Email address *
Name of Nominee *
Address
Phone *
Contact Email *
Place of employment *
Address *
Position *
How long? *
Immediate Supervisor *
Phone of Supervisior *
Is the nominee a member of the following?
IRA Number of nominee if available:
Name of Local Reading Council if available:
Briefly state reasons for nominating this person: *
Background information should be attached on separate sheets. (Educational, professional and other biographical information should be included. Attach the supporting data such as letters of recommendation, news clippings, other honors, etc.) Please include a photograph of the nominee.
Background information should be attached on separate sheets. (Educational, professional and other biographical information should be included. Attach the supporting data such as letters of recommendation, news clippings, other honors, etc.) Please include a photograph of the nominee. *
Required
Submit
Never submit passwords through Google Forms.
This form was created inside of Arkansas Reading Association. - Terms of Service - Additional Terms