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2016-17 Teach Like a Champion Fellowship Nomination Form
Nominee's Information
First and Last Name
Your answer
Grade Level/Subject
Your answer
Email address
Your answer
Nominator Information
Tell us about yourself.
First and Last Name
Your answer
Title
Your answer
School Name and City
Your answer
Email address
Your answer
Nomination Short Answer Responses
What data do you have to suggest that this is an exceptional teacher? (<250 words)
Your answer
What are this teacher's strengths and areas of growth? (<250 words)
Your answer
What do you hope this teacher and your school will gain from this fellowship? (<250 words)
Your answer
Thank you!
If you have any questions, please email tlacfellows@uncommonschools.org
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