KYKZ - Teacher of the Week Entry

Teacher of the Week
Entry Form

DATE: __________________________________________________________________________________________

TEACHER’S NAME: ________________________________________________________________________________

ADDRESS: _______________________________________________________________________________________

SCHOOL: ________________________________________________________________________________________

SCHOOL DISTRICT: ________________________________________________________________________________

GRADE LEVEL/SUBJECT(S) TAUGHT: _________________________________________________________________

WHY DO YOU FEEL THIS TEACHER SHOULD BE AWARDED "TEACHER OF THE WEEK? _________________________

________________________________________________________________________________________________

SALUTE INFO: Background (50 words or less) __________________________________________________________

________________________________________________________________________________________________

(SUBMITTED BY) NAME: ___________________________________________________________________________

ADDRESS: _______________________________________________________________________________________

Return completed forms to:
KYKZ - 96 Radio
"Teacher of the Week"
425 Broad Street
Lake Charles, LA 70601

Or Fax to: 436-7278