2019 OCTM Educator Award Nomination Form
Each year the Ohio Council of Teachers of Mathematics recognizes outstanding teachers, professors, emerging leaders and friends of mathematics. We invite you to nominate deserving educators for these awards!

Deadline for nominations: March 31, 2019

*NOTE: OCTM Awardees are recognized at OCTM's annual conference. The 2019 OCTM Conference is scheduled for October 23-25, 2019 in Sandusky, Ohio.

NOMINEE'S INFORMATION
Nominee's First Name *
Your answer
Nominee's Last Name *
Your answer
Nominee's EMAIL *
Your answer
For which award should your nominee be considered?
For classroom teachers, instructional coaches, math specialists, curriculum directors, etc, OCTM awards elementary, middle school and high school teacher awards for each of OCTM's 8 regions (districts).

The Kenneth Cummins Award recognizes an educator at a college/university for outstanding teaching in mathematics or mathematics education courses.

The Friend of Mathematics Award recognizes significant contributions to the state of Ohio in the mathematics education community by a person who is not eligible for the other awards.

The Emerging Leader Award recognizes leadership in the mathematics community by a pre-service teacher or a teacher with five or fewer years of classroom experience.

Select the Appropriate Award *
NOMINEE'S O.C.T.M. REGION and PLACE of EMPLOYMENT
Central: Crawford, Richland, Marion, Morrow, Knox, Union, Delaware, Licking, Madison, Franklin, Fayette, Pickaway

East: Medina, Portage, Summit, Trumbull, Mahoning, Ashland, Wayne, Stark, Columbiana, Holmes, Tuscarawas, Coshocton, Carroll, Jefferson, Harrison

Northeast: Lorain, Cuyahoga, Lake, Geauga, Ashtabula

Northwest: Williams, Fulton, Lucas, Defiance, Henry, Wood, Ottawa, Sandusky, Erie, Paulding, Putnam, Hancock, Seneca, Huron, VanWert, Allen, Wyandot, Hardin

South: Highland, Ross, Pike, Jackson, Adams, Scioto, Gallia, Lawrence

Southeast: Muskingum, Guernsey, Belmont, Fairfield, Perry, Morgan, Noble, Monroe, Hocking, Athens, Washington, Vinton, Meigs

Southwest: Warren, Clinton, Hamilton, Clermont, Brown, Butler

West: Mercer, Auglaize, Shelby, Logan, Darke, Miami, Champaign, Clark, Preble, Montgomery, Greene

Select the REGION in which the nominee works *
NOMINEE's: school district, university, organization or other affiliation *
Your answer
Please RATE the nominee in the following areas:
Nominee's impact on mathematics education as a classroom teacher, instructional coach, consultant, university professor, etc. in his/her respective role *
Minimal
Outstanding
Nominee's participation in professional development to improve mathematics education within his/her position. *
This candidate eagerly attends and/or provides professional development or learning opportunities in order to improve mathematics education. This may include professional development mandated or NOT mandated by employment.
Minimal
Outstanding
What makes this nominee worthy of recognition?
Describe why this nominee is worthy of recognition. *
Please be as specific as possible.
Your answer
NOMINATOR'S INFORMATION
Nominator's First Name *
Your answer
Nominator's Last Name *
Your answer
Nominator's EMAIL *
Your answer
How do you know your nominee? *
Your answer
For more information:
Heather Wukelich
OCTM District Director-at-Large
heather.wukelich@ohioctm.org
330-797-3900 ext 2229
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