KSWLA Farrar Award Nomination Form
Please use this form to nominate a worthy candidate for the annual KSWLA Phyllis Farrar Leadership Award. Please first review the requirements for nomination listed on the KSWLA website.
Name of nominee *
Your answer
Nominee's current employer (or most recent employer, if retired) *
Your answer
Nominee contact information: mailing address *
Your answer
Nominee contact information: email address *
Your answer
Your name (person making the nomination) *
Your answer
Your employer *
Your answer
Your email address *
Your answer
Your phone number (may list more than one, if necessary) *
Your answer
Nominee's professional teaching experience: (Please include number of years in each position and describe briefly the nominee's role in each position. Please include the type of educational setting for each position-e.g. elementary school, high school, higher ed.) *
Your answer
Nominee's participation in KSWLA: (Please list leadership positions, presentations at conferences, other activities contributing to KSWLA.) *
Your answer
Nominee's contributions to the profession: (Please describe in some detail what you view as the nominee's contributions to the profession. These may include contributions in our state, to our region or to the national community of language teachers and learners. Contributions may be directly related to teaching or to advocacy, policy, professional development, or other aspect of the profession.) *
Your answer
Additional Requirement: Nominee's CV or resume (email to kswlapastpresident@gmail.com *
Additional Requirement: Two letters of recommendation (email to kswlapastpresident@gmail.com) - list names of those who will provide letters of recommendation (do not include yourself). *
Your answer
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