Hart Vision Charter Teacher of the Year Nomination Form

The Hart Vision Charter Teacher of the Year Award recognizes an individual who has made significant contributions to CCSA's mission to support and advocate for high-quality non-profit charter schools in California. A charter school teacher can be nominated using this form. Please check the Conference website (www.CharterConference.org) for submission deadlines. Award winners will be privately notified initially and will later be featured on the CCSA website and social media.

Please complete this section with your own information.

First name*

Last name*

Email address*

Phone number*

Mailing address*

What is your relationship with the nominee?*

Form Date Field*

Please complete this section with the nominee's information.

First name*

Last name*

Email Address*

Phone Number*

Job Title*

Example: 3rd Grade Teacher, 6th-8th Grade Science Teacher, etc.

School/Organization*

Mailing address for school/organization*

Key contact at nominee's school/organization*

Please provide name, phone number, and email address.

Grade level(s) nominee serves*

Please describe how the nominee advances the mission and goals of the school or the movement.*

Please describe an example of when the nominee has assumed a leadership role in order to affect change within the school or the charter movement.*

How does the nominee use innovative strategies, materials, and curricula to support and enhance instruction?*

How does the nominee use data to assess student learning and improve students' academic success?*

How does the nominee encourage parent participation in student learning?*

Send me a copy of my responses

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