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2010-2011 NAIS Teachers of the Future Nomination Form
1. Call for Nominations for Innovative Teacher Leaders
Please complete this form to nominate a teacher for the 2010-2011 NAIS Teachers of the Future program.
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1
. Teacher's Name
Teacher's Name
First Name
Last Name
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2
. Teacher's School Information
Teacher's School Information
School Name
City
State
3
. Teacher's Contact Information
Teacher's Contact Information
Teacher's Phone
Teacher's E-mail Address
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4
. Please provide a brief summary about why you are nominating this person.
Please provide a brief summary about why you are nominating this person.
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5
. Has the nominee ever moderated other online forums or communities?
Has the nominee ever moderated other online forums or communities?
Yes
No
6
. If yes, what forum(s) or communities?
If yes, what forum(s) or communities?
7
. Has the nominee demonstrated teaching excellence in any or all of these areas? (please check all that apply)
Has the nominee demonstrated teaching excellence in any or all of these areas? (please check all that apply)
Environmentalism
Globalism
Equity and Justice
Technology
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8
. Innovators often encounter resistance to change as they implement new programs, share new ideas, and develop new paradigms. Please provide a brief description about how the nominee manages resistance to change.
Innovators often encounter resistance to change as they implement new programs, share new ideas, and develop new paradigms. Please provide a brief description about how the nominee manages resistance to change.
9
. Please include links to any online supporting materials or resources (web, audio, video, etc.).
Please include links to any online supporting materials or resources (web, audio, video, etc.).
10
. If you are nominating another person (not yourself), please provide your contact information.
If you are nominating another person (not yourself), please provide your contact information.
Nominator's First Name
Nominator's Last Name
Nominator's School
Nominator's E-mail Address
Nominator's Telephone Number
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