Milken Talent Pool Recommendation Form

1. Talent Pool Recommendation Form

 
TALENT POOL RECOMMENDATION FORM
DEPARTMENT OF PUBLIC INSTRUCTION
STANDARDS AND ACHIEVEMENT

We invite you to recommend distinguished classroom teachers and/or principals who have demonstrated all of the following:

• Exceptional educational talent as evidenced by effective instructional practices and student learning results in the classroom and school;
• Exemplary educational accomplishments beyond the classroom that provide models of excellence for the profession;
• Individuals whose contributions to education are largely unheralded yet worthy of the spotlight;
• Early- to mid-career educators who offer strong long-range potential for professional and policy leadership; and
• Engaging and inspiring presence that motivates and impacts students, colleagues, and the community.

Please complete a separate form for each individual including a one-page letter explaining how this person meets the criteria outlined in this letter. Please include a resume for each recommendation.

Incomplete forms will be eliminated from this process.

THIS IS A CONFIDENTIAL PROCESS
INDIVIDUALS SHOULD NOT BE AWARE OF THIS RECOMMENDATION.
Name of Recommended Educator:
1. Educator
2. Title
3. Grades
4. Subjects
5. Grade Levels
Total Years in Education: If a Principal, number of years as an administrator:
6. Years
7. Will the person be at the same school site next year?
School District/Address:
8. Information
RATE educator from 1-10 (10 being highest) on the following four criteria and provide a paragraph to explain your rating. Be detailed and thorough, with examples whenever possible.
9. Exceptional educational talent as evidenced by effective instructional practices and student learning results in the classroom and school.
10. RATE
12345678910
A
11. Exemplary educational accomplishments beyond the classroom that provide models of excellence for the profession. Include committees, mentoring, awards, publications, presentations.
12. RATE
12345678910
B
13. Strong long-range potential for professional and policy leadership, i.e., predict the educator's potential to remain in education for at least 20-25 more years and demonstrate leadership in the profession.
14. RATE
12345678910
C
15. Engaging and inspiring presence that motivates and impacts students, colleagues and the community. Do students perform at higher levels due to the educator, pursue certain careers, credit their success to the educator, etc.?
16. RATE
12345678910
D
17. Cite evidence of student achievement gains as a result of the educator's practices:
18. Cite awards the educator has received:
19. Other comments:
20. Education
Please list the names and phone numbers of three references other than you for the educator. We will call and interview them. They should know the educator currently and very well.
21. Reference-1
22. Reference-2
23. Reference-3
24. Your Name
Return completed letter(s) and resume(s) by mail to:

ND Department of Public Instruction
Talent Pool Program Administrator
600 E Boulevard Ave., Dept. 201
Bismarck, ND 58505-0440

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