LifeChanger of the Year 2017-18 Nomination Form

Please fill out the form below to nominate a K-12 teacher or school employee for the 2017-18 LifeChanger of the Year Program. To be considered for LifeChanger of the Year, one must demonstrate:

  • A proven ability to make a beneficial difference in the lives of students
  • The ability to positively add to the development of the school's atmosphere
  • Leadership within his/her school and/or district
  • A record of excellent performance at the professional level
  • Commitment to producing a nurturing atmosphere
  • Adherence to high moral and ethical standards

Please remember the criteria and be sure to provide detail in your nomination essay about how your nominee demonstrates these criteria on a daily basis.

You may nominate a maximum of three teachers or school employees for LifeChanger of the Year 2017-18. All K-12 public and private school employees are eligible, and all nominees will be notified by email about their nomination. If you wish to remain anonymous, please check the box at the bottom of this form.

About Your LifeChanger

Submit a photo of your nominee to be included in their LifeChanger of the Year profile. Please note that all photos must only be of the nominee. Photos with students or other adults in them will not be posted.

Only files with .jpg allowed. File must be between min size of 22.5 KB (150px x 150px) and max size of 4 MB.

About You

If you are under 18 years old, please provide the email address of a parent or guardian below.

Please note: all nominees will be notified of the identity of their nominator unless otherwise specified. If you wish to remain anonymous, please check this box:

Why They're a LifeChanger

Tell us why this nominee is a LifeChanger in your community. There are two ways you can submit a nomination - please choose one:*