OHIO: EVPP | Presidential Teacher Award Nomination Form

Presidential Teacher Award Nomination Form

Nominations must be submitted by 5:00 PM on Monday, October 17, 2011.

Fields in bold type are required.

Your First Name:

Your Last Name:

Your e-mail address:

Please use your Ohio University (Oak) e-mail address if possible. Your e-mail address is needed so that we can notify you that we have received and processed your nomination.

Nominee's First Name:

Nominee's Last Name:

Nominee's Department or School:

Nominee's Campus:

Nominee's College:

Your Relationship to Ohio University:

student

faculty

alumni

Nominations are welcome from all Ohio University students, faculty, and alumni.

Your college, department/school:

Associate Provost for Academic Affairs
311 Cutler Hall
Athens, OH 45701-2979
Phone: (740) 593-2577 Fax: (740) 593-9591

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