Please review the Award Criteria and complete this entire application to be considered for the 2018 Teaching Tolerance Excellence in Teaching Award.
(The application must be completed in one session.)

Part A: Your Personal Information

*First name:(Required.)

*Last name:(Required.)

*Personal phone number:(Required.)

*Personal email address:(Required.)

*Your school email address:(Required.)

*Principal's name:(Required.)

*Principal's email address:(Required.)

*School name:(Required.)

*School address line 1:(Required.)

School address line 2: (Optional)

*City:(Required.)

*State:(Required.)

*Zip:(Required.)

*What subjects do you teach?(Required.)

MathScienceSocial Studies/HistoryReading/LiteracyArtMusicPhysical Education/HealthSpecial EducationEnglish/Language ArtsOther (please specify)

*What grade(s) do you teach?(Required.)

Kindergarten

1st

2nd

3rd

4th

5th

6th

7th

8th

9th

10th

11th

12th

*How long have you been teaching?(Required.)

Part B: Your Students and School

How many students attend your school?

What is your average class size?

*Type of school?(Required.)

Traditional PublicMagnetCharterPrivateParochialOther

*What is the racial and ethnic composition of your school?(Required.)

*What is the setting of your school?(Required.)

SuburbanUrbanRuralTown

*What percentage of the students you teach have an IEP or 504?(Required.)

*What percentage of the students you teach are English language learners?(Required.)

*What percentage of students in your school are eligible for free and reduced lunch?(Required.)

PART C: Your Teaching
Answer each question in fewer than 200 words.

*1. Instruction: Tell us how your curriculum and lessons support anti-bias and social justice goals. (Please see the goals of our Social Justice Standards in the award criteria.)(Required.)

*2. Classroom culture: Tell us how you build a positive and inclusive classroom culture.(Required.)

*3. Family and community engagement: How do you connect students and families to the larger school community, to the local community or to the world?(Required.)

*4. Teacher leadership: Tell us how you lead beyond the classroom.(Required.)

PART D: References 
Please provide the contact information for two professionals who can speak to your teaching in the classroom and leadership outside of the classroom.

Reference 1

*Full name:(Required.)

*Title:(Required.)

*Email:(Required.)

*Phone:(Required.)

Reference 2

*Full Name:(Required.)

*Title:(Required.)

*Email:(Required.)

*Phone:(Required.)