Civic Leader Educator Award Application 2026
Complete each section and upload links to your organized artifacts folder before submitting.
Applicant Information
Teacher Name
*
First Name
Middle Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Mailing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
School District
*
Please Select
Carson City School District
Churchill County School District
Clark County School District
Douglas County School District
Elko County School District
Esmeralda County School District
Eureka County School District
Humboldt County School District
Lander County School District
Lincoln County School District
Lyon County School District
Mineral County School District
Nye County School District
Pershing County School District
Storey County School District
Washoe County School District
White Pine County School District
State Charter School Authority
Private School
Other
School
*
Award Level
*
Elementary
Middle School
High School
Grade Levels Taught
*
Pre-K
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Years of Teaching Experience
*
Subjects Currently Taught
*
Other Relevant Experience
Artifacts Folder Link
*
Paste a shareable link to your online folder. Make sure sharing is set to anyone with the link can view.
Disciplinary Skills and Informed Action
Which social studies disciplinary skills do you regularly integrate into instruction?
*
Developing compelling and supporting questions
Gathering and evaluating sources
Developing claims and using evidence
Analyzing multiple perspectives
Communicating conclusions
Taking informed action
How often do students engage in informed action in your classroom?
*
In every unit
Several times a semester
Once a semester
Once a year
Give one concrete example of informed action from this or last school year
*
Classroom Rubric Alignment
For each criterion, rate your classroom on the Civic Excellence Rubric (3 = Model), explain in about 100 words how your classroom meets the Model descriptor, and name the artifact in folder 2 that shows it.
Instructional Models: Self-rating
*
3 Model
2
1
Instructional Models: How does your classroom meet the Model descriptor?
*
Instructional Models: Supporting artifact in folder 2
*
Student Driven: Self-rating
*
3 Model
2
1
Student Driven: How does your classroom meet the Model descriptor?
*
Student Driven: Supporting artifact in folder 2
*
Standards Alignment: Self-rating
*
3 Model
2
1
Standards Alignment: How does your classroom meet the Model descriptor?
*
Standards Alignment: Supporting artifact in folder 2
*
Focus on Process over Product: Self-rating
*
3 Model
2
1
Focus on Process over Product: How does your classroom meet the Model descriptor?
*
Focus on Process over Product: Supporting artifact in folder 2
*
Assessment Format: Self-rating
*
3 Model
2
1
Assessment Format: How does your classroom meet the Model descriptor?
*
Assessment Format: Supporting artifact in folder 2
*
Community Rubric Alignment
Same format. Name the artifact in folder 3.
Family Engagement: Self-rating
*
3 Model
2
1
Family Engagement: How does your classroom meet the Model descriptor?
*
Family Engagement: Supporting artifact in folder 3
*
Community Participation and Collaboration: Self-rating
*
3 Model
2
1
Community Participation and Collaboration: Supporting artifact in folder 3
*
File name or short description
Community Participation and Collaboration: How does your classroom meet the Model descriptor?
*
Educator Statement
Three short responses, about 150 to 175 words each (500 words total).
What is your civic teaching philosophy?
*
How are disciplinary skills and informed action embedded in your instruction?
*
Describe examples of student outcomes and growth.
*
Leadership in Civics
Leadership roles you have held
*
Mentoring other teachers
Program development
Community partnerships
Advocacy
Leading professional learning
Conference presentations
Coaching a civics program (We the People, History Day, Mock Trial, Project Citizen, KidsVention, etc.)
Other
Describe your civic leadership
*
What types of leadership evidence are in folder 4?
*
Student work samples
Project descriptions and photos
Event fliers or showcase programs
Media coverage
PD agendas or conference materials
Partnership letters or agreements
Other
Letters of Support
Administrator recommender name and title
*
Second recommender name and role
*
Both letters are uploaded to folder 1 of my artifacts folder
*
Checked
I certify that the information in this application is accurate and that artifacts are my own work or properly attributed
*
I certify
Submit Application
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