CarletonUniversity

Patrick O’Brien High School Teaching Award

Nomination Form2009

Graduating students from the Eastern Ontario region are invited to nominate an outstanding high school teacher for the Patrick O’Brien High School Teaching Award. Provided at convocation, these awards recognize excellent high school teachers and the inspiration they provide to their students. As a graduating student, this is an opportunity to reflect on the support, encouragement and guidance you received from a particular high school teacher and the impact it had on your success to date.

Eligible teachers must be from the greater Eastern Ontario region. The selection committee is chaired by the Associate Vice-President (Student Support Services) and comprises faculty, students and past award winners. The nomination form is available through the Senate website:

The award winners will be presented with their award at the convocation ceremony of their nominators.

Nominator Information (Section A)

First Name: / Last Name:
Student Number: / Degree/Discipline
Permanent Mailing Address:
Email Address: / Telephone Number:
Signature:
Date:

Nominee Information (Section B)

I NOMINATE:

Nominee's First Name: / Nominee's Last Name:
High School:
School Address:
Tel:

Nomination Text (Section C)

For most of you at least one teacher stands out in your memories- someone who had a significant influence on your success, someone who inspired you e and encouraged you to grow as a person academically and in your life beyond the classroom. You are invited to recognize this special teacher who made a difference in your life.

We ask that you provide a typed statement of 350-500 words describing, with examples and illustrations, how your nominee through his/her teaching has been a significant influence in your success. Your statement will be the major element in the deliberation of the selection committee.

Nominations must reach the Committee by Monday, March 16, 2009 and should be forwarded to:

Office of the Associate Vice-President (Student Support Services)

High School Teaching Awards

CarletonUniversity

1125 Colonel By Drive, 420 Tory Building

Ottawa, OntarioK1S 5B6

High School Teaching Award Form February 2009 P. 1