Exemplar Educator Form

Exemplar Educator

Northwest Independent School District

Exemplar Educator

2016 – 2017

 

Nomination Source:

Check the category that best describes your status:

(   )  Direct Supervisor

(   )  Colleague

(   )  Business Partner

(   )  Community Member

(   )  Parent 

(   )  Student

 

 

I, _____________________________________________________________________________

(Name of Individual Making Nomination)

 

nominate the following teacher, counselor,  or librarian for the

 NISD Exemplar Educator Cadre.

 

 

 

Nominee’s Name Mr. / Ms. / Dr. __________________________________________

                               (Circle Title)                       First                                                 Last

 

 

School Name __________________________________________________________

 

 

 

Nominee’s Position______________________________________________________

 

 

 

Briefly describe the characteristics that make this nominee an excellent candidate to become a NISD Exemplar Educator: _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

_______________________________________________________________________________

 

 

____________________________                          ____________________________

                  (Signature)                                                                    (Date)

 

Please return your completed nomination form to the campus where the teacher, counselor,

or librarian works.