Ethnic Minority Recognition Award Nomination Form - Maryland State Education Association

MSEA Ethnic Minority Recognition Awards Policy and Guidance

Before beginning work on your nomination form, please take a moment to review MSEA’s Ethnic Minority Recognition Award Policy and Guidance document. It will assist you in assuring that your nominee meets the award criteria and that your nomination form is submitted properly. It can be found by clicking HERE.

DEADLINE: 11:59pm on November 1 of the prior year in which the award is to be given. Late or incomplete nomination forms will NOT be considered.

Please complete this form to nominate a candidate for the MSEA Ethnic Minority Recognition Awards. In order to be considered complete, this submission form must also include the nomination forms from your secondary nominators. Each nomination form must include at least two (2) but no more than four (4) secondary nominators.

The secondary nominator form can be found by clicking HERE. Note: Only active, retired (includes life), student, or staff members of MSEA (or NEA) are eligible to nominate a candidate or serve as a secondary nominator. Nominators are required to provide their MSEA Member Number.

After collecting the completed secondary nominators’ forms, please upload the forms in the space provided at the bottom of this nomination form. The MSEA Minority Affairs Committee will review submitted nomination forms and will make recommendations to the MSEA Board of Directors for final approval. Please be sure to complete all required fields of the nomination form.

If you have questions, email [email protected] with “Minority Recognition Awards Question” in the subject line.

Award Sought *

Name of Nominee *

First

Last

Nominee's Address *

Address Line 1

Address Line 2

City

State

Zip Code

Nominee's Contact Number *

Nominee's Personal Email *

Nominee's Local Affiliate *

Have you notified the nominee to inform them that they are being considered for this award? *

Name of Primary Nominator *

First

Last

MSEA ID #

If you do not know your MSEA member number, email [email protected] with “MSEA Member Number” in the subject line.

Primary Nominator's Address *

Address Line 1

Address Line 2

City

State

Zip Code

Primary Nominator's Contact Number *

Primary Nominator's Personal Email *

Primary Nominator's Local Affiliate *

Award Nominee Criteria

All nominees for the MSEA Ethnic Minority Recognition Awards, regardless of the award category, should meet the following criteria:

*Demonstrates leadership on public education issues.

*Fosters increased public understanding of public schools in American society.

*Promotes a positive image of public education on behalf of students, parents, and educators.

*Encourages and promotes improvement in Maryland’s public education system.

Education Award: What contribution(s) has the nominee made to the improvement of education in the state of Maryland? *

In 300 words or less, please provide specific examples of contributions made by the nominee that demonstrate why they are deserving of this honor. Additional information should be uploaded to the nomination supporting materials section below.

NOTE: Nominees in this category must be employed in Maryland’s public education system and be a member of the United Education Profession.

Leadership Award: What outstanding leadership contributions has the nominee made to deserve this award? *

In 300 words or less, please provide examples of leadership contributions made by the nominee on a sustained basis (rather than any single exceptional service deed) that demonstrate why they are deserving of this honor. Additional supporting information should be uploaded to the nomination supporting materials section below.

NOTE: If the nominee is a member of the United Education Profession, this leadership contribution must go beyond any individual position they may hold.

Politics Award: In what ways has the nominee promoted, sponsored, and/or supported legislation and/or governmental action that consistently promotes and enhances public education in Maryland? *

In 300 words or less, please provide specific examples of actions taken by the nominee that demonstrate why they are deserving of this honor. Additional information should be uploaded to the nomination supporting materials section below.

Community Award: Which of the following types of activities has the nominee engaged in that demonstrate their dedication to public education? Select all that apply. *

Providing individual support to students, educational employees, and parents.
Sponsoring ongoing school-related activities.
Advocating public education issues.
Consistently giving leadership, long hours, and loyalty to public education.
Presenting a positive image of public education and educators.

Provide details about the activities undertaken by the nominee that demonstrate why they are deserving of this honor. *

Please limit your comments to 300 words or less. Additional information should be uploaded to the nomination supporting materials section below.

Student Award: In what ways has the nominee participated in activities that further the growth of public education? *

Please limit your comments to 300 words or less. Additional information should be uploaded to the nomination supporting materials section below.

NOTE: Nominees in this category must be a member of MSEA’s Aspiring Educators Program and should promote the goals and policies of the United Education Profession.

I have read and understand MSEA’s Ethnic Minority Recognition Awards Policy.

As the primary nominator for this award, I understand that I am responsible for collecting and submitting all required elements for this nomination form, including supporting materials and secondary nominator forms (including nominators’ signatures), and that my failure to do so will result in my incomplete nomination form being rejected by MSEA’s Minority Affairs Committee.

I certify that I am an active, retired, student, or staff member of MSEA (or NEA).

Primary Nominator's Signature *

Clear Signature

Upload the required secondary nominator forms here. *

Click or drag files to this area to upload. You can upload up to 4 files.

You must include at least two (2) but no more than four (4) secondary nominator forms.

Upload brief biographical sketch of nominee HERE. *

Click or drag a file to this area to upload.

Upload nomination supporting materials

Click or drag a file to this area to upload.

Upload nomination supporting materials

Click or drag a file to this area to upload.

Upload nomination supporting materials

Click or drag a file to this area to upload.