Preston and Ann Leake Teacher Recognition Award Nomination Form

Nominee Information

First Name:   Last Name: Suffix:

School Where Nominee Teaches:

Grade Level:

Major Subject Area (if any):

Identify specific character traits that show that your nominee is deserving of this award:

Give specific examples of acts of kindness that your nominee has shown to his/her students that make him/her deserving of this award:

Tell why you believe that this teacher has excelled in assisting his/her students and deserves to receive this award.

Describe the relationship between the teacher and his/her students or parents:

Describe the teacher's involvement in the local community:

Nominator Information

First Name: Last Name:

Street:

City:   State:   Zip:

Phone: (-

Email:

Letters of Recommendation

Two letters of recommendation must be included with this nomination.

You may upload the letters now. Only doc or pdf documents are allowed.

  1. A letter from a community member that explains why your nominee is deserving of this award.
  2. A letter from a fellow teacher that tells why the nominee should receive the award.

OR

The two letters of recommendation can be mailed to:

    John Randolph Foundation
    Attn: Preston and Ann Leake Teacher Recognition Award-Nomination Form
    112 N. Main Street
    P.O. Box 1606
    Hopewell, VA 23860