Information Needed to Complete the Online Self or Peer Nomination Form

NOMINEE INFORMATION

• Nominee contact information (name, title, city/town, state/province, zip/postal code, country, email address, phone number)

• Current position

• Years in position

• Years in profession

• Name of school district

• Location of school district (urban, suburban, rural)

• Grade level(s) currently teaching (HS, MS/JH, Elem, Pre-K)

• Number of schools where currently teaching

NOMINATOR INFORMATION

• Nominator contact information (name, title, city/town, state/province, zip/postal code, country, email address, phone number)

• The selection committee’s initial assessment of the nominee will be based upon a narrative

provided by the nominator. The narrative should be limited to one page and must address all of the following issues in the order listed:

1. The nominee’s impact on students

2. The nominee’s impact on the musical development in his/her school, community, and state

3. The nominee’s pursuit of his/her own professional development

Narratives may also provide other information, such as a listing of past teaching awards, leadership

activities, etc.

Please note: Be sure to use detailed examples in each section of the narrative to provide the

selection committee with a complete description of the nominee’s qualifications.

The narrative document will be uploaded to the online application form; the file types accepted for upload are DOC, DOCX, or PDF.

REFERENCES

• The selection committee will narrow the applicant pool using the narrative provided by the

nominator. Upon arriving at the semifinal list, the committee will contact three references who will need to be able to speak about the abilities of the nominee.

• References must include an administrator, a teacher/colleague, and a student or parent. You will

need to provide:

1. Administrator contact information (name, title, city/town, state/province, zip/postal code, country, email address, phone number)

2. Teacher/colleague contact information (name, title, city/town, state/province, zip/postal code, country, email address, phone number)

3. Parent or student contact information (name, title, city/town, state/province, zip/postal code, country, email address, phone number