Kentucky Special Education Teacher of the Year Award

Instructions for Applying

KY Special Education Teacher of the Year Award

Please follow instructions.

 

1.         Application must be typed on the official form.

2.         Use only the space provided for responses. 
            Single-space is recommended.
            Attachments will not be read.

3.         Attach only three letters of recommendation.
            Letters should be the only attachments.

4.         Affix/secure appropriate signatures.

5.         Application must be DELIVERED TO THE
            DEPARTMENT no later than October 9, 2017.
We are unable to accept Fax copies.

6.         Send 4 copies (the ORIGINAL and THREE copies) of            your application to:

                        Robin Linton
                        Division of Learning Services
Diverse Learners Branch
                        Kentucky Department of Education
                        300 Sower Blvd
                        5th Floor
                        Frankfort, Kentucky 40601

Note:
Award will be given out at the 2017 Council of Exceptional Children Conference.           


2017 KY Special Education Teacher of the Year Award
 TEACHER OF THE YEAR APPLICATION
Official District Nomination

I.          GENERAL INFORMATION/SIGNATURES

Nominee Name                                                          _______________________________

 CEC Member              Yes          No      CEC Membership # _______________________

Home Address                                                                        Date of Birth                          

                                                                                                Telephone                                         
city                                                     state                              zip code                                                               work and home

Teaching Assignment                                                                                    

School Principal                                                                                             

School Name                                                              Telephone                                         

School Address                                                                      

                                                                                               
city                                                     state                                                  zip code

 

School Superintendent                                              Telephone                                         

Director of Special Education                                    Telephone                                         

School District                                                           

Address                                                                                  

                                                                                               
city                                                     state                              zip code

Nominee Signature                                                                Date                                       

Principal Signature                                                                 Date                                       

Director of Special
Education
Signature                                                                                            Date                                       

Superintendent
Signature                                                                                            Date                                       

______________________________________________________________________________________________________________________

Page 2 of 4
KY Special Education Teacher of the Year Award

II.         EDUCATIONAL HISTORY AND PROFESSIONAL DEVELOPMENT ACTIVITIES
            (In each case below, list most recent information first.)

 

A.         List colleges and universities attended including post-graduate
                        studies.  Indicate degrees earned and dates of attendance.

 

 

 

B.         List teaching employment history indicating school district, school, time period, grade level and subject/disability areas.

 

 

 

            C.         List professional association memberships including
information regarding offices held and other relevant
activities.

 

 

 

D.        List staff development, presentations, involvement in the training of future teachers, district staff or other professionals.

 

 

 

            E.         List awards and other recognition of your teaching.

 

 

 

______________________________________________________________________________________________________________________

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KY Special Education Teacher of the Year Award

III.        PROFESSIONAL BIOGRAPHY

            A.         What motivated you to become a teacher?  Describe your
                        greatest accomplishment as a teacher.

 

 

 

 

 

 

 

 

 

 

IV.        SCHOOL/COMMUNITY INVOLVEMENT

            A.         Describe your school/community involvement with school-
based councils or curriculum committees, parent organizations, district committees, extended school tutoring, sponsorship of clubs, or special student groups, as well as civic activities within your local community.

 

 

 

 

 

 

 

 ______________________________________________________________________________________________________________________


Page 4 of 4
KY Special Education Teacher of the Year Award

V.         PHILOSOPHY OF TEACHING

A.       Describe what you believe is needed to provide the best possible access to the general education curriculum for students with disabilities and how you incorporate that philosophy into classroom practice.

 

 

 

 

 

 

B.       Describe what you think needs to be done to close the achievement gap between students with disabilities and students without disabilities.  What do you do to ensure you are closing the achievement gap for the students you work with?

 

 

 

 

 

 

 

I agree to be present at the Annual Conference on Programs for Exceptional Children (Fall Special Education Conference) in November should I be a finalist and be a participant of the National CEC Conference should I be the winner.

 

 

Signature _______________________________________ Date _________