Educator Of The Year Award Nomination Form
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1
2The American Legion, Department of Pennsylvania
EDUCATOR OF THE YEAR
Award Nomination Form
AWARD SELECTION CRITERIA
Department award selection will be presented plaque and US Flag by local sponsoring American
Legion Post Commander and District Commander at appropriate ceremony following Department
convention.
There shall be one recipient selected from the Department.
Department award selection must be a Pennsylvania educator in a public, private, parochial or
charter school or one who provides home schooling.
Department award selection must be recommended by local Post.
Department award selection must have contributed significantly toward promotion of American
Legion Americanism programs for youth in Pennsylvania through “direct participation” in
Pennsylvania American Legion programs including: Essay, Oratorical, Keystone Boys State,
Junior ROTC or Junior Shooting Sports, etc. Direct participation is defined as promotion of
programs and helping to prepare, coach and/or mentor Americanism program participants.
Nominations must be submitted to Department Headquarters on or before: MAY 22, 2013
2016
Nominations must be submitted to: The American Legion, Department of Pennsylvania,
PO Box 2324, Harrisburg, Pennsylvania 17105-2324.
PERSONAL INFORMATION
(PLEASE PRINT OR TYPE ALL INFORMATION)
NAME: ____________________________________________________________________________
HOME ADDRESS: ___________________________________________________________________
CITY: _______________________________________ STATE: _______
ZIP CODE: ___________
HOME TELEPHONE: _________________________ EMAIL: ________________________________
EMPLOYMENT INFORMATION
(IF APPLICABLE)
EMPLOYER: _______________________________________________________________________
POSITION: _________________________________________________________________________
ADDRESS: _________________________________________________________________________
CITY: _______________________________________ STATE: ________
ZIP CODE: ________
WORK TELEPHONE: __________________________ WORK EMAIL: ________________________
PROFESSIONAL RECOMMENDATION
Recommended by: _____________________________ Signature: __________________________
Position: __________________________________________________ Date: __________________
Employer: __________________________________________________________________________
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