Society of Health and Physical Education- Michigan - SHAPE-MI: T.O.Y. Awards Nomination Form

* Email

Name of person making nomination:

* Teacher Of the Year Award - Please choose one of the following:

Elementary Physical Education
Middle School Physical Education
High School Physical Education
Adapted Physical Education
Dance
Health
Aquatics

* Name of Nominee:

* Nominee's Home Address:

* Nominee's Email:

* Nominee's Phone Number:

* Nominee's School and School District:

* Nominee's Current School Address:

* Nominee's Current Position:

* Nominee's Educational Background: Institution, degree, graduation date. (Current resume may be included in the nomination form in lieu of completion of the form.)

* Current Memberships of Nominee:

SHAPE - Michigan - (if not, nominee must enroll before submitting nomination)
SHAPE - America

Other:

* Name/Email/Phone number of Nominee's District's Public Relations/Human Resource or Communications Director:

* Nominee is certified in Physical Education, Health or Adapted physical education teacher/adapted endorsement or approval teacher in the state of Michigan with a minimum of 5 years teaching experience in PE, Health or Adapted in the level they are being no

Yes
No

* Please speak to the following criteria of the Nominee: Conducts a balanced and sequential curriculum that reflects an understanding of a child’s growth and development.

* Utilizes various teaching methodologies and plans innovating learning experiences to meet the needs of all students.

* Serves as a positive role model, epitomizing personal health and fitness, enjoyment of activity, fair play and sensitivity to the needs of students.

* Demonstrates evidence of professional commitment through membership, involvement and/or leadership in community, local, state, and/or national organizations.

* Please choose at least 3 other notable contributions that Nominee does or has received. Publications Presentations Grants Special projects Awards/Recognition

* Upload a current picture or headshot

* Upload at least 2 more letters of recommendation for Nominee. (Could include from administrators, co-workers, students)

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