Please print clearly. Use complete school name, including type (ie, Tuscola High School, Manitowoc
Middle School, etc.).
Name of School:____________________________________________________________________
Address:__________________________________________________________________________
Town/ City:________________________________________ Zip Code:________________________
Teacher Name:_____________________________________________________________________
1. What Industry/Education partnerships has the teacher been instrumental in forming? ____________
________________________________________________________________________________
________________________________________________________________________________
2. How did the teacher market his or her program this year to entities in and outside
the school district?_________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
3. What kind of opportunities has the program generated for the students?_______________________
________________________________________________________________________________
________________________________________________________________________________
4. Does the teacher produce a newsletter about his or her program and is it posted online with
WoodLINKS® USA?__________________________________________________________________
________________________________________________________________________________
5. Does the teacher have industry come in and talk with students or give demonstrations?
If so, list the names of the companies.?___________________________________________________
________________________________________________________________________________
________________________________________________________________________________
6. Does the teacher take his or her students on field trips visiting members of industry? If so, list the
names of the companies._____________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
7. What kind of project(s) has the program completed for the school district?_____________________
________________________________________________________________________________
________________________________________________________________________________
8. What type of fundraising activities has the program generated_______________________________
________________________________________________________________________________
________________________________________________________________________________
9. Is the teacher certifying students in his or her program____________________________________
________________________________________________________________________________
10. What kind of project(s) has the program completed for entities outside the school district?________
________________________________________________________________________________
________________________________________________________________________________
11. Other noteworthy accomplishment.__________________________________________________
________________________________________________________________________________
________________________________________________________________________________
Signature of School Principal:___________________________________ Date:_________________
Signature of WoodLINKS® USA Teacher:___________________________ Date:_________________
Please mail or fax or email completed form to:
WoodLINKS® USA PO Box 445, Tuscola, IL 61953
Fax-217-253-3239
Email-woodlinksusa@mediacombb.net
To be considered for this award at the WoodLINKS® USA/AWFS Teacher In-Service, this
form must be postmarked or faxed on or before June 1 .
