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    I would like to nominate a teacher deserving of the Monsignor Gerald Lawrence Lewis Award for Excellence in Teaching.

    Teacher's Full Name:

    Teacher email:

    School:

    School Parish:

    Principal:

    Principal email:

    School Address:

    City:

    State:

    Zip:


    My Name:

    Address:

    City:

    State:

    Zip:

    Phone (day):

    Phone (evenings):

    My email:

     

    NOMINEE FORM

     

      Nominee Information & Questionnaire

      ACCEPTING THE NOMINATION

      Please enter your full name and indicate if you accept or decline the nomination:
      AcceptDecline

      If you decline the nomination, please scroll to the bottom and click the "Submit" button. If you accept, please proceed with the rest of the form. All fields are required. Thank you!


      I. GENERAL INFORMATION

      Deanery:

      Name:

      Name of School:

      School Parish:

      Name of Principal:

      Principal Email:

      School Address:

      School Telephone:

      Teaching Assignment:

      Total Years Teaching in Raleigh Diocesan Schools:

      Years in Present Position:

      Total Years Experience:

      Colleges and Universities Attended and Degrees Earned:

      Home Address:

      Home Telephone:

      Email:

      Name of Pastor:

      Pastor Telephone:


      II. Describe in 75 words or less each of the following:

      Describe your personal feelings and beliefs about teaching, including your own ideas of what makes you an outstanding teacher.

      Describe the rewards you find in teaching at a Catholic School.

      What do you hope your students remember most about you as a teacher?

      Reflecting on the past three to five years: describe a time/event that made you feel joyful and/or inspired about the work you do.

      What was the most valuable thing you learned over the past three to five years that impacted your students or your instructional style/methods?

      If selected as the Recipient of the Msg. Lewis Award, what would be your message to the teachers in our Catholic schools who are striving for excellence?


      III.

      Professional Association Memberships

      Awards and Recognitions

      Interests and Community Involvement

      Extracurricular Involvement


      IV. Letters of Support

      Please attach one (1) file containing all three (3) and the statement of the pastor’s endorsement and his signature (if he was not one of the people who wrote a letter of support). Acceptable file formats include pdf, doc, and docx.



      Please verify that you have completed all sections of the form according to the instructions at the top. Once complete, please click "Submit". Thank you and congratulations again on your nomination!