NCTE Secondary Section
High School Teacher of Excellence Award
DEADLINE MAY 1ST
DEADLINE EXTENDED TO JUNE 16
Nomination Form
Please Print, Complete, and Mail this form to:
Secondary Section High School Teachers of Excellence Award
National Council of Teachers of English
1111 West Kenyon Road
Urbana, IL 61803
Name of Nominee:____________________________________________________
Address:____________________________________________________________
City/State/Zip:________________________________________________________
Phone: (H)___________________________________________________________
Phone: (O)___________________________________________________________
Email:_______________________________________________________________
Fax:_________________________________________________________________
Name & Address of Nominee's School:___________________________________
____________________________________________________________________
____________________________________________________________________
Principal's Name:_____________________________________________________
School Phone:_______________________________________________________
School Fax:__________________________________________________________
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Affiliate Name:________________________________________________________
Affiliate Contact Person:________________________________________________
Address of Contact Person:_____________________________________________
City/State/Zip_________________________________________________________
Phone: (H)___________________________________________________________
Phone: (O)___________________________________________________________
Email:_______________________________________________________________
Local Media Contacts__________________________________________________
____________________________________________________________________
____________________________________________________________________
Newspaper name and address:__________________________________________
_____________________________________________________________________
_____________________________________________________________________
How was the nominee selected?
_____Board Nomination or
_____Previous winner of affiliate teaching award or
_____Nominations and selections from general membership or
_____Other, please describe
This completed form along with nominee supporting data listed on previous page must be sent to: The National Council of Teachers of English (NCTE), Secondary Section High School Teachers of Excellence Award, Felisa Mann, 1111 West Kenyon Road, Urbana, IL 61801.
Administration: The Secondary Section Liaison will administer the award.