___________________________________ ______________________________ Name of Nominee Nominee's Email ___________________________________ ______________________________ Nominee's Address Nominee's Phone Number ___________________________________ ______________________________ Nominee's City and Zip Code Head Start Grantee Name ___________________________________ Signature of Nominee My signature above allows the Utah Head Start Association to disclose information from this application at the UHSA Conference Educator of the Year Utah State Head Start Association State Awards Sponsored by UHSA Award The 2012 - 2013 Educator of Year award winner will be recognized at the Utah Head Start Association conference which will be held November 8, 2013 in Sandy, UT. Award Criteria Note: Failure to meet any of the criteria below will result in automatic elimination. 1. Applicant must serve as an instructor in a Head Start or Early Head Start Program providing services to children who live in Utah. This includes classroom teachers, teacher's assistants, and home visitors. 2. The local program must be a current member of UHSA. 3. Applicant must be a program employee for at least two years. 4. Applicant must have at least a CDA or an equivalent credential that has been recognized by OHS. Requirements 1. Include a one-page, double space, typed essay outlining your philosophy of educating young children. 2. Include a recommendation letter from a co-worker or your direct supervisor. Letter may be handwritten but can not be more than one page 3. Include a letter of support from a family you work/have worked with. Letter maybe handwritten but cannot be more than one page. Ranking Applications will be ranked on the following: 40 points- Essay- Educational philosophy 30 points- Letter from coworker or supervisor 30 points- Letter from family you are working with/have worked with. Applications are due to your local Head Start program by _______________ Winners from each program will be forwarded to the Utah Head Start Association by May 24.

Educator of the year

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___________________________________ ______________________________Name of Nominee Nominee's Email

___________________________________ ______________________________ Nominee's Address Nominee's Phone Number

___________________________________ ______________________________Nominee's City and Zip Code Head Start Grantee Name

___________________________________ Signature of NomineeMy signature above allows the Utah Head Start Associationto disclose information from this application at the UHSA Conference

Educator of the YearUtah State Head Start Association State Awards

Sponsored by UHSA

Award

The 2012 - 2013 Educator of Yearaward winner will be recognized atthe Utah Head Start Associationconference which will be heldNovember 8, 2013 in Sandy, UT.

Award Criteria

Note: Failure to meet any of thecriteria below will result inautomatic elimination.1. Applicant must serve as an instructorin a Head Start or Early Head StartProgram providing services to childrenwho live in Utah. This includesclassroom teachers, teacher'sassistants, and home visitors.2. The local program must be a currentmember of UHSA.3. Applicant must be a programemployee for at least two years.4. Applicant must have at least a CDAor an equivalent credential that hasbeen recognized by OHS.

Requirements

1. Include a one-page, double space,typed essay outlining your philosophyof educating young children.2. Include a recommendation letterfrom a co-worker or your directsupervisor. Letter may be handwrittenbut can not be more than one page3. Include a letter of support from afamily you work/have worked with.Letter maybe handwritten but cannot bemore than one page.

Ranking

Applications will be ranked on thefollowing:40 points- Essay- Educational philosophy30 points- Letter from coworker or supervisor30 points- Letter from family you are working with/have worked with.

Applications are due to your local Head Start program by _______________Winners from each program will be forwarded to the Utah Head Start Association by May 24.