2012 Eukel Nomination Form

Document Sample
2012 Eukel Nomination Form Powered By Docstoc
					                                WARREN W. EUKEL TEACHER TRUST
                                   2125 Oak Grove Road, Suite 120
                                      Walnut Creek, CA 94598
                                     Telephone: (925) 945-0200
                                     Facsimile: (925) 945-8792


                                   2012 NOMINATION FORM FOR:

Name:__________________________________             School:__________________________________

Home Address:__________________________             School Address:__________________________

________________________________________            ________________________________________

Home Phone:____________________________             School Phone:____________________________

Home Email:____________________________             School Email:____________________________

Number of Years Teaching ________________
Dear Eukel Teacher Trust Selection Committee:

       I hereby nominate the above-referenced person to be a recipient of this year’s $10,000 award for
excellence in education.

1.     Why does this nominee deserve to be named one of this year’s most outstanding teachers in
       Contra Costa County?




2.     Describe one way in which this teacher has changed the lives of his/her students.




3.     In what ways has this nominee done more than what is normally expected of a teacher?




Nominated by: __________________
Address: _______________________            Please fax or mail to the Eukel Trust by May 24th
         _______________________           (Feel free to attach additional pages to this form)
Email: ________________________
Phone: ________________________

				
DOCUMENT INFO
Shared By:
Categories:
Tags:
Stats:
views:3
posted:10/30/2012
language:Unknown
pages:1