Educator Of The Year Award Nomination Form Page 2

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Address: ___________________________________________________________________________
City: ___________________________________________ State: ______ Zip Code: ____________
Business Telephone: ______________________EMAIL: ___________________________________
Describe how Educator has demonstrated leadership through participation in American Legion
Americanism programs for youth within the organization and the community. Please detail
involvement:
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
(Use additional sheets if necessary)
YOUTH AMERICANISM PROGRAM PARTICIPATION
POST RECOMMENDATION
Recommended by: _____________________________________ Post Position: ________________
Signature: ___________________________________________________ Date: _________________
Post # _____ City: ____________________________________ County: ______________________
District # _______
PA American Legion Section: ( ) East
( ) West
( ) Central
Home Address: _____________________________________________________________________
City: ___________________________________________ State: ______ Zip Code: ____________
Home Telephone: ______________________EMAIL: ______________________________________
Describe how Educator has demonstrated leadership and contributed significantly toward
promotion of American Legion Americanism programs for youth through their “direct
participation” in one or more of the Pennsylvania American Legion Americanism programs for
youth including the Essay, Oratory, Boys State, Jr. ROTC, and Shooting Sports, etc. Direct
participation is defined as promotion of programs and helping to prepare, coach and/or mentor
Americanism program participants. Please detail involvement:
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
(Use additional sheets if necessary)

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