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* 1. Nominee's Name:

This District or Campus Administrator of the Year award is presented to a district or campus administrator who supports the special education program, the students served in the program and the professionals who provide special education and related services. This administrator actively promotes a climate of inclusion in both academic and extracurricular activities on the campus or throughout the district. Eligibility • Open to all public school administrators with the exclusion of special education administrators • Primary responsibility of the applicant must be acting as a principal, assistant principal, superintendent or district administrator • Nominees must be nominated by members of TCASE. (Non-members may submit membership and dues at the time of entry.)

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* 2. PROGRAM FEATURES
Describe the unique and outstanding features of the nominee’s special education program.

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* 3. PROGRAM IMPACT
Describe impact of the nominee’s leadership on students, district/SSA and community.

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* 4. PROFESSIONAL DEVELOPMENT/COMMUNITY INVOLVEMENT
List dates and types of professional activities/organizations (presentations, offices held, publications, etc.); civic/community involvement; professional growth activities undertaken for improvement of program/professional skills.

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* 5. ADMINISTRATIVE/LEADERSHIP EFFECTIVENESS
Describe how the nominee’s skills and talents facilitate positive attitudes for change, promote positive staff relationships, promote integration of students with disabilities, and how the nominee’s leadership/advocacy efforts have resulted in improved services for students with disabilities.

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* 6. AWARDS AND HONORS
Provide any awards or honors that the nominee has received that are pertinent to this award.

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* 7. ENDORSEMENTS:
Please compile three to five single-page letters of endorsement for the award, and send them all together in a single e-mail to info@tcase.org with the subject line: award nomination. Please include the nominee’s last name or district name in the body of the e-mail.

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* 8. REGION

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* 9. Form completed by:

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