2019 CÆA OUTSTANDING ART EDUCATOR AWARDS NOMINATION FORM
Before completing this form, review the awards-scoring rubric specific to the award for which you are nominating yourself or another educator. This will enable you to include information that is most pertinent to the scoring criteria in the category for which the nomination is being evaluated.
Nominee's Full Name:
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I, the Nomintator hereby nominate the Nominee for the following Outstanding Art Educator Award:
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Elementary Art Educator
Middle Level Art Educator
Secondary Art Educator
Supervision/Administration
Higher Education Art Educator
Museum Art Educator
Cooperating Teacher/Mentor
NAHSor NAJHS Sonsor
Special Needs Art Educator
John Nerreau, Retired Art Educator
Distinguished Service to the Profession
Scott Shuler Distinguished Art Advocate
New Professional
NOMINATOR INFORMATION
Nominator Full Name:
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Prefix
First Name
Middle Name
Last Name
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I certify that I am not an immediate family member (spouse, child, parent, sibling) of the person who I am nominating.
Nominator Home Address:
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Nominator Position/Title:
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Nominator School/business:
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Nominator Work Address:
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Nominator Home Phone Number:
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-
Area Code
Phone Number
Nominator Work Phone Number:
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-
Area Code
Phone Number
Nominator Email:
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example@example.com
NOMINEE INFORMATION
Nominee's Full Name
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Prefix
First Name
Middle Name
Last Name
Email Address
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Nominee's Division:
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Elementary
Middle Level
Secondary
Supervision/Administration
Higher Education
Museum
Pre Service
Nominee's NAEA/CAEA Membership Number:
Nominee's Region:
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Eastern
Southeastern
Western
Pacific
Nominee's Home
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Date of Retirement, if retired:
Nominee's Position/Tite:
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I certify that the nominee is not an NAEA Board Member, NAEA Board Member-Elect, NAEA Regional Division Director, elected or appointed state officer, or a member of any award review committee
Nominee's Current Employer:
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Nominee's Work Address:
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Nominee's Home Phone Number:
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-
Area Code
Phone Number
Nominee's Work Phone Number:
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-
Area Code
Phone Number
Nominee's Work Email:
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example@example.com
Nominee Vita Information
List degrees held, Institution(s)and other education:
List NAEA activities onthe national level including offices held, committees, honors, service, etc:
List NAEA activities on the regional level including offices held, committees, honors, service, etc:
List leadership roles, offices and/or honors in other professional associations:
List related experience with program development, publications,artistic production and/or exhibitions:
List other teaching and/or related experiences:
Nominee Support Materials
Upload Nomination Letter:
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Upload Two Letters of Recommendation:
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Upload Headshot of Nominee:
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Upload Summary of NAHS/NJAHS Activities:
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NAHS/NJAHS Outstanding Sponsor Award ONLY
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