Nomination Packet for Fairfax County Public Schools Teacher of

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					                        Nomination Packet for Fairfax County Public Schools

                          Teacher of the Year 2006
                                            and The Washington Post

  Agnes Meyer Outstanding Teacher Award
     Use this form to nominate a teacher for the 2006 Fairfax County Public Schools (FCPS) Teacher of the Year award and
           The Washington Post Agnes Meyer Outstanding Teacher award. Nominations are due December 2, 2005.

 Nominees                                                                                          ➤ Personal philosophy of education statement,
                                                                                                        prepared by nominee.
 To be eligible for nomination, a teacher must:
                                                                                                   ➤ Career summary, prepared by nominee.
 ➤ Have completed three consecutive years on a full-
   time teaching contract in FCPS and currently teach                                              Each section on the nomination form must be answered
   in FCPS.                                                                                        separately; do not combine sections. The letter of
 ➤ Plan to continue in an active teaching status next year.                                        nomination and supporting letter of nomination should
 ➤ Teach a group(s) of students on a regular basis                                                 each be three pages or less. The three other letters to
   (80% of the time).                                                                              support the nomination should represent the nominee’s
 ➤ Be aware of and in agreement with this nomination.                                              involvement in school, professional, civic, and/or
                                                                                                   extracurricular activities. No material other than that
 Nominees must be teachers who:                                                                    specifically requested will be considered in the selection
                                                                                                   process. No materials will be returned. Nominations
 ➤ Instill in students a desire to learn and achieve.
                                                                                                   received after the deadline will not be considered.
 ➤ Understand the individual needs of students, encourage
   their talents, and foster their self-esteem.                                                    Send 20 completed nomination packets
 ➤ Demonstrate a thorough knowledge of subject                                                     (one original and 19 copies) to:
   matter and the ability to share it effectively                                                    Office of Staff Development and Training
   with students.                                                                                    Alan E. Leis Instructional Center, Room 22
 ➤ Foster cooperative relationships with colleagues and                                              7423 Camp Alger Avenue
   the community.                                                                                    Falls Church, VA 22042
 ➤ Demonstrate outstanding leadership.
                                                                                                   Selection Process
 Nominators                                                                                        A screening committee will review all nomination
 ➤ Any FCPS teacher, administrator, or other staff                                                 materials and recommend a group of nominees for
   member; student or former student; parent; or                                                   further consideration by the FCPS Leadership Team. The
   Fairfax County government employee or citizen may                                               Leadership Team will panel interview selected finalists.
   nominate a teacher for this award.                                                              Ratings and critiques are confidential and will not be
 ➤ One individual must submit the nomination. A group                                              disclosed. The Superintendent of Schools will make the final
   may provide a letter in support of the nomination.                                              decision, notify the winner, and notify The Washington Post,
                                                                                                   sponsor of the Agnes Meyer Outstanding Teacher awards.
 ➤ An individual may nominate only one person for
                                                                                                   The winner will be announced in February/March 2006.
   the award.
 ➤ Teachers may not nominate themselves.
                                                                                                   Awards and Recognition
                                                                                                   A special FCPS reception, supported by the FCPS
 Nomination Packet and Procedures                                                                  Education Foundation, Inc., and a Fairfax County School
 The nomination packet must include the nomination form
                                                                                                   Board recognition ceremony will be held in the spring to
 (attached) with the following attachments, in this order:
                                                                                                   honor all nominees. As a winner of The Washington Post
 ➤   One letter of nomination.                                                                     Agnes Meyer Outstanding Teacher Award, the FCPS
 ➤   One supporting letter of nomination.                                                          Teacher of the Year will be awarded $3,000 at a ceremony
 ➤   Principal’s supporting statement or letter.                                                   at The Washington Post.
 ➤   Up to three additional letters to support the nomination.                                     Deadline for Nominations: December 2, 2005
 ➤   Description of how nominee meets each of the                                                          Questions? Call (703) 208-7727.
     nomination criteria.
                                                                                                     Í Flip this over to begin completing the nomination form. Í

            Note: The Washington Post requires photos of the winner only. FCPS will arrange for photos to be taken of the finalists.
                                      There is no need to submit photos with this nomination packet.

FA I R FA X C O U N T Y P U B L I C S C H O O L S   •   I N S T R U C T I O N A L S E RV I C E S D E PA RT M E N T   •   O F F I C E O F S TA F F D E V E L O P M E N T A N D T R A I N I N G
                                                 Fairfax County Public Schools

                                            Teacher of the Year 2006
                                                    and The Washington Post
                                Agnes Meyer Outstanding Teacher Award
                                          Nomination Form

   The nominator should complete items 1 through 9.
1 Nomineeʼs Name __________________________________________________________________________________
   Check with the nominee and write the name as the nominee would like it to appear on a certificate, plaque, or program.
   Middle names are not used, unless the nominee generally goes by both names.


   Home Address_______________________________________________________________________________________________

                  _______________________________________________________________________________________________

                  _______________________________________________________________________________________________

   Home Phone __________________________________________ School Phone_________________________________________

   Work Location _______________________________________________________________________________________________

   Title/Position ________________________________________________________________________________________________

   Subject/Grade Level __________________________________________________________________________________________

   Number of Years in the Teaching Profession ______________________________________________________________________

   Number of Years of Full-Time Teaching in FCPS __________________________________________________________________

   Principal’s Name _____________________________________________________________________________________________



2 Nominatorʼs Name _________________________________________________________________________________

   Address ____________________________________________________________________________________________________

            ____________________________________________________________________________________________________

            ____________________________________________________________________________________________________

   Title/Position ________________________________________________________________________________________________

   Phone ______________________________________________________________________________________________________

   Relationship to Nominee ______________________________________________________________________________________



3 Cluster Assistant Superintendentʼs Approval (Required)

   I support this nomination.
                                                              Signature                                         Date


   Note: It is the nominator’s responsibility to obtain the Cluster Assistant Superintendent's signature on the nomination form.
4 Identification of three people who can provide additional information if requested by The Washington Post.
    (Please list below.)


          Name                             Address                             Phone                Relationship to Nominee




5 Attach a letter of nomination from the nominator (not to exceed three typed pages).


6 Attach a supporting letter of nomination (not to exceed three typed pages). This letter may be written by an
    individual or a group. Members of the same family may not submit both the letter of nomination and the
    supporting letter of nomination.


7 Attach the principal’s supporting statement or letter. This must be from the nominee’s current principal.


8 Attach up to three other letters to support the nomination (not to exceed three typed pages each). These should
    represent the nominee’s involvement in school, professional, civic, and/or extracurricular activities.


9 Attach a brief description of how the nominee meets each of the following criteria (not to exceed three typed pages):
       A. Instills in students a desire to learn and achieve.
       B. Understands the individual needs of students, encourages their talents, and fosters their self-esteem.
       C. Demonstrates a thorough knowledge of the subject matter and the ability to share it effectively with students.
       D. Fosters cooperative relationships with colleagues and the community.
       E. Demonstrates outstanding leadership.



    The nominee must complete items 10 and 11.

10 Attach the nominee’s personal philosophy of education statement (not to exceed two typed pages).


11 Attach the nominee’s career summary form. The nominee may either type directly on the attached form or
    prepare his or her own on a computer, using the same format (not to exceed two typed pages).
                                               Career Summary

Name ____________________________________________________________________________________________




Employment History

         Date(s)                                                   Position(s)




Education

         Date(s)                                                   Degree(s)/College/University




Awards and Honors Received




Professional Organizations




Related Work Experiences

(Include publications, workshops conducted, presentations, etc.)

				
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