2019 Drs. Raymond and Ann Pearson Master Teacher Nomination Form
Nominations must be received in the Lincoln Land Community College Foundation by Wednesday, February 6, 2019. Late nominations will not be accepted.
Who do you wish to nominate for this award? *
Your answer
Department *
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Briefly describe how this full-time faculty member has demonstrated a commitment to continuously improving and enhancing learning at LLCC. Please provide detailed, factual, specific information about what makes the nominee outstanding. *
Your answer
Name of person submitting nomination *
Your answer
Full mailing address (include city, state & zip) *
Your answer
Preferred phone *
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E-mail address *
Your answer
Relationship to nominee *
May we disclose your name to the nominee? *
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