2010 Talent Pool Recommendation Form
We invite you to recommend distinguished grades K-5 classroom teachers, principals, and/or specialists who have demonstrated the criteria listed below.
; Exceptional educational talent as evidenced by effective instructional practices and student learning results in the
classroom and school;
; Exemplary educational accomplishments beyond the classroom that provide models of excellence for the profession; ; Individuals whose contributions to education are largely unheralded yet worthy of the spotlight; ; Strong, long-range potential for professional and policy leadership; therefore, the nominees must have between 5 to 18
years experience in education; and
; Engaging and inspiring presence that motivates and impacts students, colleagues, and the community.
Please complete a separate form for each individual. In addition, please include a one-page recommendation letter
explaining how this person meets the criteria, and include a resume with each recommendation.
Note that this is a confidential process and individuals recommended should not be advised that they have been suggested for inclusion in the 2010 Talent Pool.
Incomplete forms will be eliminated from the talent pool selection process – please answer each question completely using
as much space as needed. Should you have any questions, contact Beverly Plein in the Office of Academic Standards at firstname.lastname@example.org.
The completed typewritten Talent Pool Application, recommendation letter, and resume, must be received no later than Wednesday, March 31, 2010. Please send the materials to: Beverly Plein, New Jersey Department of Education, Office of Academic Standards, 100 Riverview Plaza, P.O. Box 500, Trenton, NJ 08625-0500.
HOME ADDRESS (Street, City, State, Zip Code)
EMAIL ADDRESS SELECT ONE:
Classroom Teacher Principal
CLASSROOM TEACHER INFORMATION (Fill out only if recommending a classroom teacher/other)
NUMBER OF YEARS IN DISTRICT NUMBER OF TOTAL YEARS IN EDUCATION
(not just at your school)
GRADE LEVEL(S) TAUGHT & POSITION
English/Reading/Language Arts Science World Language (please specify)
Mathematics Social Studies Elementary (all subjects)
Other (please specify)
PRINCIPAL INFORMATION (Fill out only if recommending a principal)
NUMBER OF YEARS AS AN ADMINSTRATOR TOTAL YEARS IN EDUCATION (include years as a
teacher & administrator at other schools)
GRADE LEVELS IN THE BUILDING
SCHOOL INFORMATION SCHOOL DISTRICT
SCHOOL ADDRESS (Street, City, State, Zip Code)
SCHOOL PHONE SCHOOL FAX (Include Area Code)
SUPERINTENDENT INFORMATION NAME
ADDRESS (Street, City, State, Zip Code)
EMAIL ADDRESS PHONE NUMBER (Include Area Code)
PRINCIPAL INFORMATION NAME
EMAIL ADDRESS PHONE NUMBER (Include Area Code)
SUPERVISOR INFORMATION (If different than above) SUPERVISOR’S NAME
SUPERVISOR’S EMAIL ADDRESS SUPERVISOR’S PHONE NUMBER (Include Area Code)
; Please list the names, titles, email addresses, & phone number for the first three references, other than you; ; The person completing the talent pool application should be listed as the fourth reference; ; One of the references must be the candidate’s direct supervisor; and ; We will contact them so they should know and work with the educator at the current time and be able to provide
additional information that supports the candidate’s nomination.
REFERENCE # 1: NAME, TITLE, EMAIL ADDRESS & PHONE NUMBER (Include Area Code)
REFERENCE # 2: NAME, TITLE, EMAIL ADDRESS & PHONE NUMBER (Include Area Code)
REFERENCE # 3: NAME, TITLE, EMAIL ADDRESS & PHONE NUMBER (Include Area Code)
REFERENCE # 4 (Author of application): NAME, TITLE, EMAIL ADDRESS & PHONE NUMBER
CITE AWARDS THE EDUCATOR HAS RECEIVED:
INDICATE ETHNICITY OF EDUCATOR BEING RECOMMENDED:
White Black or African American
Asian Native American Indian or Alaska Native
Hispanic or Latino Native Hawaiian or Other Pacific Islander
Other ((please specify)
EDUCATION (Please list the most current first)
Schools Attended Degree Earned Year of Graduation
RATE the educator from 1 to 10 (10 being the highest) on the following four (4) criteria & provide a narrative to explain your
rating. Be detailed and thorough, with examples whenever possible. Please use as much space as needed.
RATING #1: Exceptional educational talent as evidenced by effective instructional practices and student learning
results in the classroom and school.
RATING #2: Exemplary educational accomplishments beyond the classroom that provide models of excellence for the
profession. Include committees, mentoring, awards, publications, and presentations.
RATING #3: Strong, long-range, potential for professional and policy leadership, i.e., predict the educator’s potential to
remain in education for at least 20-25 more years and demonstrate leadership in the profession.
RATING #4: Engaging and inspiring presence that motivates and impacts students, colleagues, and the community. Do
students perform at higher levels due to the educator, pursue certain careers, credit their success to the
Cite evidence of student achievement gains as a result of the educator’s practices: