KySTE Impact Technical Support Nomination Form

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Selection Criteria:
* The nominee is a technology support staff member or team and would not qualify for the teacher award or leader award.
* The nominee’s work has had a significant positive impact on technology use in education locally, regionally, statewide, nationally, or worldwide.
* The nominee’s work can be used as a model.
* The nominee works tirelessly to genuinely improve the quality of education.
* The nominee has demonstrated his/her ability to both deliberately plan for and incorporate in the use of technology for the purpose of improving the educational setting.
* The quality of technology use and availability has been materially improved in the nominee's workplace.
* The nominee is an active member of professional organizations.
* The nominee has contributed to the profession by presenting at professional conferences, seminars and/or workshops or publishing articles in print or through electronic media.

**This form can be used to nominate an individual or a technical support team.

Nominee Information

Nominee Name(s) *

Title/Position: *

Employer: *

Work Address (street, city, state, zip): *

Work Phone: *

Work Email: *

Short Biography of Nominee(s) *

Using the selection criteria above as a guide, tell us why you are nominating this "outstanding" candidate or team. *

Nominator Information

(your information)

First Name: *

Last Name: *

Email Address: *

Preferred Phone Number: *

KySTE Membership Number: *

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