JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Literacy Champion Award (Self-Nomination)
A Literacy Champion is a local educator who has gone above and beyond to improve literacy in our community.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Name
*
Your answer
Email Address
*
Your answer
School
*
Your answer
Select one:
*
Pre-K Teacher
K-3 Teacher
How do you teach literacy in an extraordinary way?
*
Your answer
Why is a focus on literacy so important to you and your students?
*
Your answer
What do you do on a regular basis to promote literacy to students and families?
*
Your answer
Share a story of student success with literacy while in your classroom; tell us how you helped to foster a love of reading with a student, or how you helped a student struggling with age/grade level literacy.
*
Your answer
Please provide the name and email address of a principal or site administrator who can verify your literacy efforts in the classroom.
*
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of United Way of Tucson and Southern Arizona.
Report Abuse
Forms
