Outstanding Educator Nomination

Use this web form to generate a completed nomination form that can be printed at your computer.

When completing this form, fill it out and print the final screen to deliver to the appropriate representative in your KMEA district. This web form itself does not transmit information to any KMEA officer.

This application must be filled out in its ENTIRETY. All fields are required.

Nominee's Information

Nominated Teacher
Total Years in Profession	Select... 5 years 6 years 7 years 8 years 9 years 10 years 11 years 12 years 13 years 14 years 15 years 16 years 17 years 18 years 19 years 20 years 21 years 22 years 23 years 24 years 25 years 26 years 27 years 28 years 29 years 30 years 31 years 32 years 33 years 34 years 35 years 36 years 37 years 38 years 39 years 40 years 41 years 42 years 43 years 44 years 45 years 46 years 47 years 48 years 49 years 50 years The "Years in Profession" selector contains options as low as five years in order to cover the minimum requirements for district-level awards. Not all districts have the same minimum requirement for the district-level award. To be considered for the state-level award, a teacher must have a minimum 10 years in the profession. KMEA does not require all 10 years to have been completed in Kansas to be considered for the state-level award.
Teaching Level	- Elementary Middle Level High School
Subject Taught	- Vocal Orchestral Band General Private Other

School Information

School Name
Street Address
City
State
Zip Code
KMEA District	- Northwest North Central Northeast East Central Southwest South Central Southeast

Home Address

Street
City
Zip Code

Letters of Recommendation

The sponsor is to contact a minimum of three knowledgeable adults each of whom will submit a letter of recommendation on behalf of the nominee. The individuals writing in support of the nomination should include persons associated with the professional background of the nominee, including peers, parents, and administrators. Up to ten contributors may be identified below.

Letter Writer # 1

Name
Mailing Address (Street, City, State, Zip)
Relationship to Nominee

Letter Writer # 2

Name
Mailing Address (Street, City, State, Zip)
Relationship to Nominee

Letter Writer # 3

Name
Mailing Address (Street, City, State, Zip)
Relationship to Nominee

Letter Writer # 4

Name
Mailing Address (Street, City, State, Zip)
Relationship to Nominee

Letter Writer # 5

Name
Mailing Address (Street, City, State, Zip)
Relationship to Nominee

Letter Writer # 6

Name
Mailing Address (Street, City, State, Zip)
Relationship to Nominee

Letter Writer # 7

Name
Mailing Address (Street, City, State, Zip)
Relationship to Nominee

Letter Writer # 8

Name
Mailing Address (Street, City, State, Zip)
Relationship to Nominee

Letter Writer # 9

Name
Mailing Address (Street, City, State, Zip)
Relationship to Nominee

Letter Writer # 10

Name
Mailing Address (Street, City, State, Zip)
Relationship to Nominee

Clicking on the "Generate Nomination Form" button below will generate a printable nomination form.