2019 West Virginia
Professor of the Year

Faculty Merit Foundation, Inc. 

Nomination Form

Faculty Merit Foundation of West Virginia, Inc.
c/o Bowles Rice LLP
600 Quarrier Street
Charleston, WV 25301
304.347.2131

General Instructions for Completing the Professor of the Year Nomination Form

1.	The completed Nomination Form, together with signed Statements of Recommendation and the signed Nominee's Statement, must be submitted (or postmarked) no later than Thursday, November 7, 2019.  Emails will not be accepted.  DO NOT staple or bind the application or supporting documents. Use paper clips as needed. 
2.	To be eligible for consideration, the nominee must be associated with one of the public or private nonprofit degree-granting colleges or universities in West Virginia, be a full-time employee of the nominating institution for a minimum of five consecutive years, hold academic rank of assistant professor or higher, preferably earning a terminal degree, and devote a majority of work time in teaching students. 
3.	All nominations must be approved and signed by the president of the college or university, or the chief academic officer. Accurate and complete submission of this form is the responsibility of the individual making the nomination. Multiple nominations from the same institution are acceptable. 
4.	Carefully follow the instructions given in the various sections of the Nomination Form. Note especially any limitations, such as the maximum number and length of the Statements of Recommendation and the word limit for the Nominee's Statement. Failure to follow the instructions creates an unfavorable impression on those members of the board who evaluate the Form and attachments.
5.	Do not include with the Nomination Form copies of tabulated results of any course/teacher evaluations by students that have been submitted to the administration. Rather, if such information is considered significant, it should be included in summary fashion in one or more of the Statements of Recommendation.
6.	Based on the Nomination Forms received by the deadline, the Foundation board will select up to five finalists to meet with the board for personal interviews. Each finalist will be reimbursed for mileage to travel to the interview site.
7.	In completing the Nomination Form and in writing the Statements of Recommendation and the Nominee's Statement, keep in mind that the Foundation board will use the following point system in judging those persons nominated:
	Category	Maximum Points	
Teaching	20	
Student Counseling/Advising	15	
Teaching at Current Institution (1 point for each 5 years)	05	
Institution & Community Service Activities	05	
Research and Publications	05	
Leadership Experience	10	
Innovation / Creativity	10	
Nominee’s Statement	15	
General Overall Impression*	*15	
TOTAL MAXIMUM POINTS  	100	

*This category takes into consideration the impression created by the completed Nomination Form and Statements.
8.	Nominees will be notified of the board’s findings in late December with board interviews with the finalists taking place in mid-January. The awards reception and banquet will be held in Charleston in the spring of 2020.  
(If you would like the form sent to you in Microsoft Word, you may email splantz@bowlesrice.com, or call Sarah Plantz at 304.347.2131.)

FACULTY MERIT FOUNDATION OF WEST VIRGINIA, INC.
Professor of the Year Nomination Form
Section I

-	To be eligible for consideration the nominee must be associated with one of the public or private nonprofit degree-granting colleges or universities in West Virginia, be a full-time employee of the nominating institution for a minimum of five consecutive years, hold academic rank of assistant professor or higher, preferably earning a terminal degree, and devote a majority of work time in teaching students. 
-	All nominations must be approved and signed by the president of the college or university, or the chief academic officer.  Multiple nominations from the same institution are acceptable. 
-	Accurate and complete submission of this form is the responsibility of the individual making the nomination. Where additional space is needed, please attach another sheet. 	
The completed form must be submitted (or postmarked) no later than 
Thursday, November 7, 2019, to:
Faculty Merit Foundation of West Virginia, Inc.
c/o Bowles Rice LLP
600 Quarrier Street
Charleston, West Virginia 25301
Please do not staple or bind the forms or supporting documents. 
This nomination is for the following faculty member:
Name:	____________________________________________________________________________________
Institution:  _______________________________________________________________________________
Department:  ______________________________________________________________________________
Rank:  ___________________________________________________________________________________
Home Address:	_____________________________________________________________________________
Work Telephone:  _______________________  Home Telephone: __________________________________
Email Address:	_____________________________________________________________________________
Name & Title of Nominator: __________________________________________________________________
Mailing Address: ____________________________________________________________________________
Daytime Telephone: _________________________ Email: __________________________________________
University/College President’s Name:  _________________________________________________________

     (Or the appropriate academic officer - include title if other than president.)
President’s Mailing Address:  _________________________________________________________________
University/College President’s Signature:  _____________________________________________
     (Or the appropriate academic officer)                	
Section II
Faculty Merit Foundation of West Virginia
Professor of the Year Nomination Form 
Nominee Resume Information
Part A -- Personal Information – (Optional)
1.	Place of Birth: __________________________________________________________________
2.	Name of Spouse (if any): __________________________________________________________
3.	Names and Ages of Children (if any): ________________________________________________
4.	Hobbies and Special Interests: ______________________________________________________
	______________________________________________________________________________
Part B -- Professional Experience
Employer Name 	                       Position Title			Years in Position

Section II (continued)
Faculty Merit Foundation of West Virginia
Professor of the Year Nomination Form 
Part C -- Post-Secondary Education
Degree or		 			Major or		       Name of
Other Award		 			Area(s) of Study	       Educational Institution
Part D -- Awards and Recognitions
Name and Nature of			 	Year				Organization 
Award or Recognition			 	Received 			Making the Award
Part E -- Organization Memberships
Organization Name			Years of Membership		Offices Held

Section III
Faculty Merit Foundation of West Virginia
Professor of the Year Nomination Form 
Part A -- Classroom Teaching
(1)  Current Semester
Name of Course		Number of Students	    Course Level	     Number Credit Hours
(2) Most Recent Previous Semester
Name of Course		Number of Students	    Course Level	     Number Credit Hours

Section III (continued)
Faculty Merit Foundation of West Virginia
Professor of the Year Nomination Form
Part B -- Student Advising and Counseling
Indicate such information as number of students assigned for academic counseling, student office hours kept, student organization sponsorship work, and any other information relative to direct involvement with students outside the classroom.
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
Part C – Teaching at Current Institution
One point for each five years of teaching at the current institution, maximum of 5 points.
(minimum of five consecutive years completed teaching at current institution)

Section III (continued)
Faculty Merit Foundation of West Virginia
Professor of the Year Nomination Form 
Part D – Institution & Community Service Activities 
Name of Committee,			Years of Active	Specific
Task Force, etc.			Involvement	Responsibilities

Section III (continued)
Faculty Merit Foundation of West Virginia
Professor of the Year Nomination Form 
Part E -- Organized Research and Publications
Include only projects that were specifically funded and approved by the college or university and/or resulted in a significant publication.  Be selective.  Describe very briefly the nature of the research, the specific results and the larger contribution of the project to the particular field of knowledge.
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
Section IV
Statements of Recommendation
Three signed statements of recommendation are to be submitted with each nomination. One recommendation must be from the individual making the nomination and one must be from a former student—preferably, one who has graduated.
Each statement should be no longer than a single-spaced page and should be as specific as possible concerning how the nominee has excelled in "...outstanding innovation, creativity in teaching and professional leadership."  Include the statements of recommendation with this completed form.

Section V
Faculty Merit Foundation of West Virginia
Professor of the Year Nomination Form 
Nominee Statement
Secure from the nominee, and include with this completed Nomination Form, a typed, signed statement of not more than 1,000 words double-spaced, in response to the following question:  

11318390.1

Describe the successful college student. What qualities and characteristics should he or she bring from previous educational pursuits and life experiences?