Technology Teacher Nomination Form

Nominations Deadline: Friday, June 30, 2013

All nominations must be submitted via this electronic form and once submitted, all nominations are final.

TIP: Draft your answers to the essay questions in a separate text document and be concise.

Once finalized, you can then simply copy/paste the info into this form for submission.

We strongly advise against composing the answers to the essay questions live in the online form. Click here for the nomination guide where all essay questions are provided.

NOMINEE COMPANY INFORMATION
Nominator's Name *		Nominator's Title *
Nominator's Email *		Nominator's Phone *

Nominee's Name		Nominee's Title
Nominee's Email		Nominee's Phone
School Name *
Address 1 *		Address 2 *
City *		State *
Zip *		URL
Principal/Supervisor's Name *		Principal/Supervisor's Title *
Principal/Supervisor's Email *		Principal/Supervisor's Phone *
Previous Apex Participant? *	Yes, achieved Nominee status Yes, achieved Winner status No, this is our first time
Bio *Please provide a short (100-150 words) professional bio for the website and event program.	500 of 500 characters remaining
Headshot (EPS) *Submit a high-quality headshot for use on web and in print.
ESSAYS

Upload Essay Answers Option (txt)If you prefer, you may upload a .TXT file of all essay topics (please note that an answer is required for each topic). If you upload your answers, simply type "see upload" for each of the following required essay fields.
Current Role *Describe this person's role in technology education. Where does he/she teach? What technology course(s) is he/she teaching or alternatively, what innovative uses of technology has this educator introduced into the classroom?	900 of 900 characters remaining
Leadership *Discuss the nominee's high standards relating to him/herself, the business, and his/her determination to be successful. How does the nominee demonstrate perseverance in the face of adversity and overcome obstacles? Describe how the nominee is an independent thinker and is willing to take risks in the face of uncertainty.	900 of 900 characters remaining
Qualifications *Describe the nominee's educational, professional and personal background. Describe the nominee's achievement both professional and personal.	900 of 900 characters remaining
Educator *In what ways is this educator inspiring students, making a difference and influencing technology education? What specific activities or benefits is this person delivering to technology education that his/her peers are not?	900 of 900 characters remaining
Attributes *Describe the qualities and attributes that make the nominee an ideal candidate for an award. Describe the nominee's integrity level and characteristics that set this person a part from his/her peers. Please provide specific examples of how the nominee has gone above and beyond the call of duty. What makes these contributions so unique; how do they differ from the contributions of others?	900 of 900 characters remaining
Approve *	I attest that all information submitted is true and accurate.