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Teacher Nomination Form
Nominate a teacher who has demonstrated exceptional skills in the classroom by going above and beyond the call of duty to ensure student success.
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Describe the teacher's measurable success in the classroom. (Example: Numbers or percentages that show student or class growth, personal experience with a student’s emotional, academic, or social development.) (One paragraph limit.)
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Your answer
Describe how the teacher has established parent/family engagement. (Example: The teacher participates in fund raisers, open lines of communication for parent involvement, and h as a Parent-friendly classroom atmosphere. ) (One paragraph limit.)
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Your answer
Describe how the teacher has demonstrated Student-Teacher engagement. (Example: The teacher clearly has a good rapport and relationship with students. The teacher has an obvious vested interest in each student both on an academic and personal level.)(One paragraph limit.)
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Your answer
Explain how the teacher has participated in professional improvement. (Example The teacher attends professional developments, workshops and/or training. The individual also makes an effort to further his or her education and attain various certifications.)(One paragraph limit.)
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Describe how the teacher contributes to a positive school culture. (Example: The teacher clearly upholds and contributes to the mission of the school.)(One paragraph limit.)
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Your answer
CONTACT INFORMATION FOR NOMINEE
Please provide nominee's contact information, include the school where she/he is currently employed.
Nominee's Name:
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Your answer
School Name:
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Your answer
Cell or Home Number:
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Your answer
Email Address:
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Your answer
CONTACT INFORMATION FOR NOMINATOR
Please provide nominator's contact information.
Nominator's Name:
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Your answer
Cell or Home Number:
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Your answer
Email Address:
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Your answer
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