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Michigan University/College Leader of the Year
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Email
Name of person making nomination:
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Name of Nominee:
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Nominee's Home Address:
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Nominee's Email:
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Nominee's Phone Number:
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Is the nominee a current member of SHAPE-MI?
Yes
No
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How has the nominee shown evidence of professional commitment through involvement at the local, state, district, or national organizations?
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Does the nominee have a minimum of five years as university or college educator?
Yes
No
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State how the nominee was responsible for teaching at a college or university in one of the following disciplines; physical education, health, recreation, sports and athletics, or dance.
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Explain how the nominee conducted a balance and sequential curriculum that reflected an understanding of child growth and development?
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Explain how the nominee utilizes various teaching methodologies and plans innovative learning experiences to meet the needs of all students.
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Explain how the nominee has assumed responsibility for his/her own professional growth.
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Explain how the nominee has served as a positive role model, mentor and professional advocate.
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Explain how the nominee epitomizes personal health and fitness, enjoyment of activity, sportsmanship, and sensitivity to the needs of students.
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Upload a Current Picture or Headshot of Nominee:
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Upload three letters of support
(one of the letters may be the letter of nomination.)
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