GEORGIA LGBTQ EDUCATOR OF THE YEAR NOMINATION

This award honors an outstanding Georgia educator who is committed to creating an environment free of homophobia in his or her school or school system.

Procedures for Nominations

1. The recipient of the Georgia LGBTQ Educator of the Year Award must be a middle or high school teacher or administrator who has made outstanding contributions to the educational environment for gay, lesbian, bisexual, and transgender students. Teachers and administrators in all Georgia schools are eligible to receive this award.

2. A selection committee will select the winner of the Georgia Educator of the Year Award. The award presentation will be made at the annual KSU LGBTQ Student and Organization Summit on April 18, 2009.

3. The recipient will receive a plaque and a check for $200.

4. Nomination forms and letters of support/supporting materials should be sent to:

Teresa Joyce, Ph.D.

Associate Provost

Kennesaw State University

1000 Chastain Road, MD #0104

Kennesaw, GA 30144-5591

5. All nominations and supporting materials must be postmarked by April 6, 2009.


GEORGIA LGBTQ EDUCATOR OF THE YEAR AWARD

NOMINATION FORM

Nominee _________________________________________ Phone ______________________________

Address_______________________________________________________________________________

City ______________________________ State _____________ Zip _______________

Current Position __________________________________________ Years in Current Position _________

Years as an educator_________________________

Name/Address of School ________________________________________________________________

_____________________________________________________________________________________

Description of nominee’s activities/involvement related to promoting awareness of the needs of LGBTQ students and creating an educational environment free of homophobia (use additional pages as necessary).

______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Nominee Signature________________________________________________Date__________________

Date_____________________________