<p> West Virginia Reading Association Eddie C. Kennedy Award</p><p>Application Form * Section I: Personal Information 1. Name: ______</p><p>2. Home Address:______</p><p>______City State Zip Code</p><p>3. Home Telephone: ______Email: ______</p><p>4. Educational Background: College/University Major/Minor Dates Degrees ______</p><p>5. Certificates/Credentials Held: ______</p><p>6. Honors: (Academic/Professional/Community Service) ______</p><p>7. Professional Experience (within the past 5 years):</p><p>Dates Areas Taught Employer ______8. Professional Reading Affiliations (All applicants must be a WVRA member at the time the application is submitted): IRA Membership Number ______Local Council Name ______Special Interest Group Name ______</p><p>9. School of Employment: ______10.Address: ______City State Zip code</p><p>Telephone ______Principal’s Name ______</p><p>Current Job Title: ______(On the back of this form, include a brief description of your current job.) * Section II: Endorsements</p><p>Endorsements should be in the form of five letters, which should be word-processed (12 font), double-spaced, and not to exceed two pages in length. Suggested sources include an administrator, supervisor, fellow teacher, parent of a student, or a student. Letters should discuss areas of excellence in teaching and personal qualities, highlighting nominee’s knowledge/enthusiasm of reading across the curriculum, teaching effectiveness, impact on colleagues, and willingness to share ideas and methods. Objectivity, factual data and specific examples are important.</p><p>* Section III: Knowledge of Reading Literacy</p><p>The nominee should share their knowledge/enthusiasm of reading literacy across the curriculum. This information should be word-processed (12 font), double-spaced, and not to exceed two pages in length. Refer to the attached sheet, Criteria for Completing Section III, for further guidelines.</p>