East Texas Historical Association

Lock Educator of the Year Nomination Form

The Ottis Lock Educator of the Year Award seeks to recognize outstanding East Texans and their achievements as educators in libraries, museums, schools, colleges, and universities. The applicant should provide all information requested below, and is free to provide additional supporting information and up to three letters of endorsement. Awards are presented at the ETHA annual meeting in Nacogdoches each September. All materials should be submitted to the ETHA office no later than May 1.

Last Name:
First Name:
Middle Initial:
Phone Number(s):
E-mail Address:
Permanent Address:
City:
State:
Zip:
Present affiliation:
Affiliation Address:
City:
State:
Zip:
Previous affiliation and experience:
Academic preparation (degrees, certificates, etc.):
Awards or other recognition:
Evidence of excellence in education: The nominator/applicant should provide a clear statement of achievement in education.

**In submitting this form, you are affirming that the above information is correct.