Michigan Lottery Excellence in Education Award Nomination Form

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Excellence in Education Award nominations are open to all Michigan K-12 public school employees

Nominee Information

Please provide the following information about the Educator of the Week nominee:

Nominee First Name *

Nominee Last Name *

Name of School / District of Employment *

Nominee Work Address *

City, State, Zip

County *

Nominee Telephone Number *

Nominee Email Address *

School Principal or Supervisor Name

School Principal or Supervisor Email Address

Describe why the nominee should be considered as the Michigan Lottery Teacher of the Week

Please cite specific examples and try to keep responses to 400 words or less.

Nominator Information

First Name *

Last Name *

Date *

Telephone Number *

Email *

Submit

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