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Talent Pool Recommendation Form

By Dale Thompson,2014-10-30 05:50
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Talent Pool Recommendation Form

    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 beverly.plein@doe.state.nj.us.

    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.

    HONOREE INFORMATION

    NAME

     Dr. Mr.

     Ms. Mrs.

    HOME ADDRESS (Street, City, State, Zip Code)

EMAIL ADDRESS SELECT ONE:

     Classroom Teacher Principal

     Other (specify):

    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

SUBJECT AREA

     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

SCHOOL ADDRESS (Street, City, State, Zip Code)

    SCHOOL PHONE SCHOOL FAX (Include Area Code)

    SUPERINTENDENT INFORMATION NAME

     Dr. Mr.

     Ms. Mrs.

    ADDRESS (Street, City, State, Zip Code)

EMAIL ADDRESS PHONE NUMBER (Include Area Code)

    PRINCIPAL INFORMATION NAME

     Dr. Mr.

     Ms. Mrs.

    EMAIL ADDRESS PHONE NUMBER (Include Area Code)

    SUPERVISOR INFORMATION (If different than above) SUPERVISOR’S NAME

     Dr. Mr.

     Ms. Mrs.

    SUPERVISOR’S EMAIL ADDRESS SUPERVISOR’S PHONE NUMBER (Include Area Code)

    REFERENCES

    ; 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)

     Dr. Mr.

     Ms. Mrs.

    REFERENCE # 2: NAME, TITLE, EMAIL ADDRESS & PHONE NUMBER (Include Area Code)

     Dr. Mr.

     Ms. Mrs.

    REFERENCE # 3: NAME, TITLE, EMAIL ADDRESS & PHONE NUMBER (Include Area Code)

     Dr. Mr.

     Ms. Mrs.

    REFERENCE # 4 (Author of application): NAME, TITLE, EMAIL ADDRESS & PHONE NUMBER

     Dr. Mr.

     Ms. Mrs.

    BACKGROUND INFORMATION

    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

    EVALUATION COMPONENT

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

    educator, etc?

Cite evidence of student achievement gains as a result of the educator’s practices:

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