Exit this survey Distance Learning Teacher of the Year Award Nomination The Colorado Distance Learning Association will honor one Distance Learning Instructor/Trainer at their annual conference this year. The winner will receive a prize, a plaque, and free entry to the Annual Conference. Question Title * 1. Please put in the contact info for the instructor/trainer that you are nominating below: Name: * Company: * Address: * Address 2: City/Town: * State: * -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP: * Email Address: * Question Title * 2. What level of students does the instructor work with? K-12 Higher Education Business/Corporate Other (please specify) Question Title * 3. Please detail what makes this instructor exceptional? Include innovative teaching strategies, class outcomes, student feedback and any other information that you feel would benefit the selection committee. Question Title * 4. What is your relation to this instructor? Contractor Employer Student Co-Worker Other (please specify) Question Title * 5. Nominated by: Name: Email: Done