Questions?
E-mail CAE at cae@mncae.org
or call 612-578-3377 (metro) or
507-389-2461 (Mankato/North Mankato).

 

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CAE Children's Privacy
Protection Guidelines

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Center for Academic Excellence > Outstanding Educator Nomination Form

Outstanding Educator Nomination Form

Please fill out the nomination form below and a more detailed application form will be mailed to your educator nominee. We are asking for either your e-mail address, mailing address or telephone number to confirm your nomination, or in case we need to reach you to clarify how to contact your nominee.

*Required

My First Name*:
My Last Name*:
My School or Organization*:
My E-mail Address*:
My Mailing Address*:

Address 1:

Address 2:

City:

State:  Zip Code:

My Phone Number*: ()   Extension 
I am a:* (please select one):
Current student of this educator. Previous student of this educator.
Parent/guardian of a student taught by this educator. Colleague of this educator.
Community member. Member of an education organization or association.
 
Here is the information about my nominee:
 
My Nominee is*: (please select one):
An elementary or middle school teacher.   A secondary school teacher.
Nominee's First Name*:
Nominee's Last Name*:
Nominee's School or Home Address*:

Address 1:

Address 2:

City:

State:  Zip Code:

Nominee's School or Home Phone Number: ()  Extension 
Nominee's School Name*:
Nominee's School District*:
How did this teacher help*?

 

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    Page modified: 10/29/07