S. Michael Goss Outstanding Faculty Advisor Award
This form is to be used to nominate a Key Club Faculty Advisor for the S. Michael Goss Outstanding Faculty Advisor Award. Completed form must be submitted by January 21, 2022.
All Key Club Faculty Advisors in the Georgia District who are advising clubs in good standing are eligible for this award.
Any Key Club member, Kiwanian or Faculty Advisor may submit a nominee for this award. This award is based on participation in Key Club activities only and is not to be confused with other school participation. Nominees will be judged on his/her contributions to Key Club and to Key Club Objects.
All decisions made by the judges are final.
There will be only one recipient of this award.
All entries must be submitted by 11:59 p.m. ET on January 21, 2022.
Name of Person Completing this form
(The name of your school)
What is your position within Key Club?
Key Club Member
School / Key Club Address
Street Address Line 2
State / Province
Postal / Zip Code
The information below should be about the Key Club Faculty Advisor you are nominating for the award.
Name of Nominee
Will this person be attending the 2022 Georgia Key Club Service & Leadership Conference?
Yes- in person
Number of Years as a Key Club Faculty Advisor
Why does this individual deserve to be named as the 2022 S. Michael Goss Outstanding Key Club Faculty Advisor?
Maximum of 300 words to describe why they should receive the award.
By submitting my digital signature below, I certify that all of the information submitted with this application is accurate.
Should be Empty: