Outstanding Teacher in Community Service Nomination Form

Individuals who are currently employed as full-time classroom/laboratory teacher in a career and technical education program.  The nominee must have been a member of WACTE for at least the past three consecutive years.

Name of Nominee: ____________________________________________________________________
                                            (First)                (Middle or M.I.)            (Last)

Business Address:_____________________________________________________________________
                                            (Street)                    (City)            (State)        (Zip)

Phone:  (      )_____________________________

Nominee's Current Employer and Title or Position:                                                                                            

Subject Currently Taught and/or Other Duties:                                                                                                   
 

                                                                                                                                                                         

WACTE Membership:  for                      years starting in year                        
ACTE Membership:  for                          years starting in year ___________
Consecutive since _________ to current year.              If Life Member, since                                

Division Affiliation __________________________  Membership # _______________

Name of Person or Group Endorsing Nominee                                                                                                  

Contact Person                                                                                                                                                 

Address:                                                                                                                                                           


Signature:                                                                                                                                                          




 
Attach the following:

Description of the applicant's current position and significant accomplishments for career and technical education of no more than two pages

Support information, which should be no more than one page each in four sections:
    a.  a description of no more than two pages of the applicant's community service work and/or significant

accomplishments in the area of training, motivating and inspiring peers and/or students to become involved in projects benefiting their community.

b.     Community Service Awards or Acknowledgements (should include dates of presentation and

organization awards.

    c.  Community Service and Civic Organization Memberships.

    d.  Professional Memberships and Professional Association Activities (must include dates of service).

Letters of support, limited to a maximum of six.  Letters should be one page in length, and should come from the following individuals:
    Nominee's immediate supervisor;
    Administrator;
    Colleague or former student;
    Community lay person;
    Two additional letters of choice

One 5" x 7" or 4" x 6" glossy photograph of the nominee.  The photograph is used for publicity purposes only, and will be returned if the nominee is not selected to receive an award. 

All materials should be word processed in 12 pt. Times New Roman font on 8 1/2 x 11 sheets with 3/4" margins, left, right, top and bottom, and written in the 3rd person context.  One original and six copies of the completed material should be submitted.  Do not send materials in bound notebooks.

 

Return by April 1 to the WACTE Past President/Awards Chair