NOMINATION

2017 INSPIRATIONAL TEACHER AWARD

Many teachers inspire, challenge, and motivate students daily. These teachers can widen a student’s perspective, foster learning and influence personal development. Inspirational teachers often lay the foundation of paths to student learning and enrichment that otherwise may not have been forged. The Helen Ann Buckley Foundation recognizes these excellent teachers with the Helen Ann Buckley Inspirational Teacher Award.

The teachers receiving the Helen Ann Buckley Foundation Inspirational Teacher Award should excel in the following areas:

• Giving an extraordinary effort to motivating and inspiring students
• Engaging students and provoking independent and original thought
• Advising students with personal attention and care
• Instilling in students a desire to learn understanding the needs of students, encouraging student talents, and fostering self-esteem

Nomination forms are available at helenannbuckley.org Submit online or mail the nomination form to:

Helen Ann Buckley Foundation

• P.O. Box 2229, Sonoma, CA 95476
• Phone: 707-287-2975
• Fax: 707-938-0475
• info@helenannbuckley.org

PLEASE COMPLETE AND SUBMIT THE FOLLOWING FORM TO NOMINATE A SONOMA VALLEY TEACHER

Date *:

Your Name *:

Your Phone Number *:

Name of Nominee *:

Relationship to Nominee *:

Subjects Taught/Position *:

May we quote from your statements in this nomination and mention you by name? YesNo

Please complete the following sections of the nomination. It is helpful for the selection committee when responses are specific as possible, reinforcing your praise and comments with real-life examples that reflect the educator’s qualities and character. (You may attach an additional piece of paper)

Describe the nominee’s effectiveness and contributions as an educator *:

Describe how this nominee has inspired and motivated students *:

If you are a student, describe the ways in which this educator has had a positive impact on you, inspiring in you a desire to know and a love of learning *:

Please describe a specific situation in which you observed this educator demonstrating characteristics that you feel qualify them as an outstanding educator *:

Optional comments about the nominee:

Date *:

Signature *:

Title/Position *:

2017 INSPIRATIONAL TEACHER AWARD

Download Nomination Form

Click here for 2017 Awards Flyer