Nomination Form
Fill out the form below to submit a nominee. Note that nominees should be district-level personnel.
Your Name
*
First Name
Last Name
Your Email
*
example@example.com
Your Phone Number
-
XXX
XXX-XXXX
Your Title
*
Your Title
Your District or Organization
*
District or Organization Name
Your Nominee
*
First Name
Last Name
Nominee's Title
*
Nominee's Title
Nominee's District
*
School District
Nominee's City and State
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Nominee’s Area of Expertise
*
Arts Education
Career and Technical Education/Career Pathways
College Readiness
Curriculum
District Leadership
Early-Childhood Education
Education Technology
Emergency/Crisis Management
English-Learner Education
Gifted Education
Innovation
Nutrition
Parent/Family/Community Engagement
School Choice
School Climate/Student Discipline/School Safety
School Leadership/Principal Development
Special Education
STEM Education
Student Voice
Student Well-Being/Whole Child
Teacher Preparation and Development
Teaching and Learning
Transportation
Vulnerable Students
Other
Please note you can nominate a district leader in a category not listed in the dropdown. Select "Other."
Describe how this leader has approached a widely shared challenge in K-12 education. What specific steps have they taken to help the district address it?
*
List four specific accomplishments related to their expertise. If possible, please include quantitative data (such as student outcomes, money saved, teachers recruited) or qualitative data (evidence of cultural change, shift in mindset).
*
List two references who are familiar with the nominee’s work and innovation. Please include emails and phone numbers.
*
Additional insights. This can include awards, accomplishments beyond what’s described here, personal attributes or experiences that drive this leader, interests or career/volunteer experiences outside of K-12 education.
Submit
Should be Empty: