Winslow Coyne Reitnouer Excellence in Education Award Nomination Form

Please complete the following information to the best of your knowledge.

In the essays of support, provide sincere, insightful examples and reflect on how the nominee has transformed their classroom or school into a culture that supports all readers. Share details about the educator's influence on students or other teachers to use the Learning Ally Audiobook Solution.

Consider encouraging your nominee to respond with more supportive documentation, such as resumes, videos, or photos. They will receive an email inviting them to take this opportunity to showcase their work to our selection committee.

About the nominee

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Nominee's first name: *

Nominee's last name: *

Nominee's job title: *

Nominee's email address *

Nominee's phone number

Nominee's school information

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School Name*

Address*

City*

State*:

Zip*

About the nominator

Your first name *

Your last name *

Your email address *

Your phone number *

Relationship to nominee *

Essays of support

Essays of support will be reviewed and considered based on the following criteria:

Impact on Students	Advocacy for students with disabilities	Professional learning to support students with disabilities	Impact on surrounding educators and schools	Classroom environment

Impact on Students
Advocacy for students with disabilities
Professional learning to support students with disabilities
Impact on surrounding educators and schools
Classroom environment

* What is their impact on student success, including their ability to instill a love of reading, emotionally connect, and willingness to support students’ individual learning styles?

* What is the educator’s impact on student success, including their ability to instill a love of reading, emotionally connect, and willingness to support students’ individual learning styles?

* What is their impact on student success, including their ability to instill a love of reading, emotionally connect, and willingness to support students’ individual learning styles?

10000 character limit

* How do they empower students to advocate for themselves and take control over their learning?

10000 character limit

* What professional development and learning have they provided to the school that encouraged educators to better understand and support struggling readers? Or, what professional development have they personally sought out to better understand and support struggling readers?

* What professional development and learning have they completed to more fully understand and support struggling readers?

10000 character limit

* How have they used community resources to support students who are struggling readers?

10000 character limit

* How have they created a school environment and culture conducive to support struggling readers, including assistive technology and accommodations?

* How have they created a classroom environment conducive to support struggling readers, including assistive technology and accommodations?

* How have they created a classroom or school environment conducive to support struggling readers, including assistive technology and accommodations?

10000 character limit

Videos, photos, resumes and other supportive documentation are greatly appreciated by the selection committee. If you have additional supporting examples or stories, please email them to aBloom@LearningAlly.org. Your nominee can also email more information. If you have a video of support, please enter a link to the video below.

Video of support

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