DTE Energy Foundation Educator of the Year Nomination Form-NOMINATIONS ARE OPEN!!!!! Deadline for applications January 24th.


Use this form to nominate a candidate for the DTE Energy Foundation Educator of the Year Award.

NOTE: There is no option to save your nomination prior to clicking submit, so please consider drafting your responses in a savable document and cutting/pasting them into the Form when you are ready to submit.

As you complete the nomination form, we encourage you to use clear and specific examples and stories to support your nomination. We are also providing you with our assessment rubric and examples of selection criteria so you will understand how the selection committee will be reviewing your responses.
Part I-EDUCATOR INFORMATION
1. Educator Nominee Name: *
2. Nominee Email: *
3. Nominee Phone #: *
4. Educator's School: *
5. Educator's District *
6. Principal of the School: *
7. Principal's or School Phone #: *
8. Principal's email: *
9. Nominator Name: *
10. Nominator Phone #: *
11.Nominator Email: *
12. Describe using specific details how the nominated educator has met two or more of the four criteria for award listed (800 words or less): (a) The teacher actively creates a culture of the arts at their school (b) The teacher facilitates arts experiences within the school community. (c) The teacher facilitates arts experiences in other contexts (d) The teacher demonstrates the ability to overcome obstacles. *
13. How has the inclusion of the arts as part of the classroom/school culture impacted students and/or the community? (325 words or less) *
14. What impact will winning this award have on the educator's career, students, and/or school community? (325 words or less) *
15. What is your relationship to the nominee? Please include your community role in your answer (e.g. I am a parent to a child who attends the nominated school, I am the principal of the nominated school, or I am a student etc). *
16. Optional: You may submit any additional links or supporting materials here (links to videos, articles, etc).
Part II- Recommendations:
Please list the names and contact information of two recommenders. If the recommender is a student under the age of 18, please provide name and contact information for a parent. Recommendations should be short (no more than 5 sentences) and should be submitted via email to Terri Park at tepark@umich.edu no later than Friday, January 17, 2020. Please clearly indicate the name of the nominee in your recommendation.
REFERENCE #1:
a. Name: *
b. Parent Name (if recommender is a student): *
c. Contact Email: *
d. Contact Phone #: *
REFERENCE #2
a. Name: *
b. Parent Name (if recommender is a student): *
c. Contact Email: *
d. Contact Phone: *
How did you learn about this award? (Check all that apply) *
Required
Download Assessment Rubric: http://bit.ly/2POKaa5
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