Excellence In Education Nomination Form
The physicians at Bear Lake Memorial Hospital are sponsoring an Educator of the month Award. The award includes $100 for the educator and $200 for the educator's classroom or department. Nominations can be submitted by students, parents, or school district employee.
Forms must be received by Feb 19, Mar. 15, Apr. 16 and May 15.
Name of Educator
Grade/Subject Taught/ Role in Education
Nominations may be made anonymously
Why does this educator deserve to be recognized?
(How does he/she make a difference in student success?)
Do you have a personal story that demonstrates this educator’s character and commitment?
Select an option below if we may share your story in honoring this educator should he/she be chosen Educator of the Month.
Okay to use.
Not okay to use.
Your name will not be used, only your story.
Do Not Fill This Out