Dorothy Lloyd Women’s Rights Award Nomination Form - Maryland State Education Association

MSEA Dorothy Lloyd Women's Rights Award Policy and Guidance

Before beginning work on your nomination form, please take a moment to review MSEA’s Dorothy Lloyd Women’s Rights Award Policy and Guidance document. It will assist you in assuring that your nominee meets the award criteria and that your nomination form is submitted properly. It can be found by clicking HERE.

DEADLINE: 11:59pm on November 1 of the prior year in which the award is to be given. Late or incomplete nomination forms will NOT be considered.

Please complete this form to nominate a candidate for the MSEA Dorothy Lloyd Women’s Rights Award. In order to be considered complete, this submission form must also include the nomination forms from your secondary nominators. Each nomination form must include at least two (2) but no more than four (4) secondary nominators.

The secondary nominator form can be found by clicking HERE. Note: Only active, retired (includes life), student, or staff members of MSEA (or NEA) are eligible to nominate a candidate or serve as a secondary nominator. Nominators are required to provide their MSEA Member Number.

After collecting the completed secondary nominators’ forms, please upload the forms in the space provided at the bottom of this nomination form. The MSEA Women’s Concerns Committee will review submitted nomination forms and will make recommendations to the MSEA Board of Directors for final approval. Please be sure to complete all required fields of the nomination form.

If you have questions, email [email protected] with “Dot Lloyd Award Question” in the subject line.

Name of Nominee *

First

Last

Nominee's Address *

Address Line 1

Address Line 2

City

State

Zip Code

Nominee's Contact Number *

Nominee's Personal Email *

Nominee's Local Affiliate *

Have you notified the nominee to inform them that they are being considered for this award? *

Name of Primary Nominator *

First

Last

MSEA ID #

If you do not know your MSEA member number, email [email protected] with “MSEA Member Number” in the subject line.

Primary Nominator's Address *

Address Line 1

Address Line 2

City

State

Zip Code

Primary Nominator's Contact Number *

Primary Nominator's Personal Email *

Primary Nominator's Local Affiliate *

Which of the following award criteria have been met by the nominee? Select all that apply. *

Obtaining equal educational opportunities for girls and women.
Improving the social and/or economic status of girls and women in the education community.
Promote a positive image of public education on behalf of students, parents, and educators.
Encourage and promote improvement in Maryland’s public school system.
Assisting girls and women in acquiring a greater voice in establishing educational policy.
Assisting girls and women of diverse ethnic, cultural, and economic backgrounds in forming coalitions and sharing resources.
Promoting programs or activities to eliminate gender stereotyping.
Developing or promoting programs, activities or legislation to eliminate gender stereotyping and discrimination against girls and women.
Heightening the awareness of girls’ and women’s contributions in all areas.

Describe specific examples of outstanding efforts that have been undertaken by the nominee and/or ways in which the nominee has acted as a leader in the area of girls' and women's rights. *

Minimum: 100 words; Maximum: 250 words.

I have read and understand MSEA’s Dorothy Lloyd Women’s Rights Award Policy.

As the primary nominator for this award, I understand that I am responsible for collecting and submitting all required elements for this nomination form, including supporting materials and secondary nominator forms (including nominators’ signatures), and that my failure to do so will result in my incomplete nomination form being rejected by MSEA’s Women’s Concerns Committee.

I certify that I am an active, retired (includes life), student, or staff member of MSEA (or NEA).

Primary Nominator's Signature *

Clear Signature

Upload the required secondary nominator forms here. *

Click or drag files to this area to upload. You can upload up to 4 files.

You must include at least two (2) but no more than four (4) secondary nominator forms.

Upload brief biographical sketch of nominee HERE. *

Click or drag a file to this area to upload.

Upload nomination supporting materials

Click or drag a file to this area to upload.

Upload nomination supporting materials

Click or drag a file to this area to upload.

Upload nomination supporting materials

Click or drag a file to this area to upload.