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2018 Health and Physical Education Teacher of the Year Nomination Form
Submit by September 7, 2018.

Do you know a Health or Physical Education teacher that demonstrates excellence? If you do, nominate him/her for a Teacher of the Year (TOY) Award!

* Holds Teacher Certification
* Minimum of 5 years teaching experience
* Holds a full time teaching contract
* Spends a minimum of 50% of total teaching responsibility teaching PE, Adapted PE, Health and/or Dance

Certified in Certified Adapted Physical Education (CAPE) or eligible to sit for the Certified Adapted Physical Education exam (eligibility= 200 hrs. of practicum experience, at least one 3-credit hour survey course in APE) is desirable. For Adapted Physical Education award ONLY.

Your First Name (as Nominator) *
Your answer
Your Last Name *
Your answer
Your Email *
Your answer
Your Phone Number *
Your answer
How Do You Know the Person You Are Nominating? *
Nominee's First Name *
Your answer
Nominee's Last Name *
Your answer
Nominee's Email *
Your answer
Nominee's Phone Number *
Your answer
Nominee's Employer (School & District) *
Your answer
What category does this teacher fall under? *
Is this person a member of SHAPE Alaska? *
Why does this person deserve this award? *
Write 3-5 sentences outlining what qualities make this candidate so deserving of this award.
Your answer
Anything else you would like to share? *
Your answer
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