All fields are required unless otherwise indicated.
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| Provide information about the educator you are recommending here. |
| First Name: | |
| Last Name: | |
| Position: | |
| If Other, please specify: | |
| Grade Levels: If teacher, list grades taught. If principal, list grades taught in building. |
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| Subjects: If teacher, list subjects taught. If principal, list subjects taught in building. |
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| Foreign language: | |
| Other subject: | |
| Years in Education: If teacher, give total years. If principal, give years as an administrator. | |
| County: | |
| School: | |
| Will this person be at the same school site next year? |
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| First Name: | |
| Last Name: | |
| Phone: | |
| Fax: | |
| Email: | |
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| RATE educator from 1-10 (10 being highest) on the following four criteria and provide a paragraph to explain your rating. Be detailed and thorough, with examples whenever possible. |
1. Exceptional educational talent as evidenced by effective instructional practices and student learning results in the classroom and school. Rating: Explain:
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2. Exemplary educational accomplishments beyond the classroom that provide models of excellence for the profession. Include committees, mentoring, awards, publications, presentations. Rating: Explain:
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3. Strong long-range potential for professional and policy leadership, i.e., predict the educator's potential to remain in education for at least 20-25 more years and demonstrate leadership in the profession. Rating: Explain:
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4. Engaging and inspiring presence that motivates and impacts students, colleagues and the community. Do students perform at higher levels due to the educator, pursue certain careers, credit their success to the educator, etc.? Rating: Explain:
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Cite evidence of student achievement gains as a result of the educator's practices:
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Cite awards the educator has received:
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Other comments:
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| You must provide at least one institution; space for two additional institutions is provided. |
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| Indicate ethnicity of educator being recommended: |
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| Other ethnicity: | |
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| Please list the names and phone numbers of three references other than you for the educator. We will call and interview them. They should know the educator currently and very well. |
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| You will need to provide a letter of recommendation and a resume for the educator being recommended. These files must be in Word (doc or docx) or PDF format. Your submission will not be accepted without these documents. |
| Letter of Recommendation: | |
| Resume: | |
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| Please check all fields before submitting. Note that all fields are required. If any part of the form fails validation, you will be required to correct any issues before your recommendation will be accepted. |
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