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Nomination For: Teacher of the Year Award
Nominations are now being accepted.
Before completing a Nomination or Letter of Recommendation, print and review the guidelines here.
Click here to submit a Letter of Recommendation.
1)  Nominees Information
First and Last Name:
Home address, city,  zip code:
Home phone with area code:
Work phone with area code:
Email Address:
Current title or position:
Years in the education field:
Name of the Indiana school where he or she is employed:
Name of school district or corporation:
Supervisor's name:
2)  Nominators Information
First and Last Name:
Your title or position:
Your relationship to the nominee:
Home address, city,  zip code:
Home phone with area Ccde:
Work phone with area code:
Email address:
3)
 Tell us about the nominee and why you think he or she should receive our “Teacher of the Year Award” by answering
the questions below.  Try to give specific examples to help us see the nominee through your eyes.  You can write your
answers to the question on you own computer, then “cut and paste” the answers into the on-line form.
a)
 Describe in 500 words or less, how the nominees work demonstrates his or her ability to provide a creative and
positive classroom learning experience that addresses the unique educational needs, strengths and lifelong potential
of students with LD/ADHD.
 

b)
Describe in 250 words or less, how the nominee goes above and beyond what is normally expected in his or her
profession.
 

c)
Describe in 250 words or less, how the nominee serves as a role model and inspiration to his or her colleagues.
 



* Home numbers and email address are required ..
Nominees must be a resident of Indiana.
All contact information provided will be treated with confidentially.
Thank you for completing this on-line nomination form.
If your nominee is selected, we will notify you by email.  Award winners will be sent a letter by postal mail.
All nominations not selected will receive an acknowledgement card.

Please review the information above and then click on the Submit Bar to send in your nomination.
You'll receive an email notice from us in a day or two to confirm we received the nomination.
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