2 On Your Side - Educator of the Week

Helping Educate New York's
Leaders of Tomorrow
Robert McLaughlin, Director

New York Lottery's
"EDUCATOR OF THE WEEK"
WGRZ-TV
NOMINATION FORM

Please fill out the form below and hit the "submit" button.
Your Name
Your Phone Number
Your Address
Your City
Your State
Your Zip Code
Your Email
Your Relationship to the Educator
Educators's Name
Educators's Phone Number
Educators's Address
Educators's City
Educators's Zip
Educator's Email
Years in Position
Educator's School
School Phone Number
School Address
School City
School County
School Zip
Tell us about this Educator and why you are nominating him/her for this award (100 words or less)

Explain how this educator has gone above and beyond the call of duty:

How has this educator positively impacted students and their performance in school?

Describe extracurricular and/or volunteer activities the educator is involved in:

Has the educator had a positive impact in the community? How?

Please include any additional information about the educator and his or her contributions to the field of education:

List weeklies and school newsletters that we may notify if the educator is selected:

	If you prefer, you can also print and fax nomination forms to 716-856-1506. Or mail to: New York Lottery's "Educator of the Week," 259 Delaware Avenue, Buffalo, New York 14202. Family Members/relatives of station employees, Lottery employees and their agents may not participate as a featured educator in this program.

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