Attachment 2 - Administrative Circular No. 74

 

San Diego City Schools
2001-2002 DISTRICT TEACHER OF THE YEAR APPLICATION FORM

 

PLEASE TYPE

Name:                                                                          Home Phone:                                     

Home address:                                                                                                                        

School:                                                                    Work Phone:                                           

Grade level/subject area(s):

                                                                                                                                               

Total years teaching experience:                                 Years in present position:                        

Colleges and universities attended, degrees earned, and dates (include postgraduate studies):

                                                                                                                                              

                                                                                                                                              

                                                                                                                                              

                                                                                                                                               

                                                                                                                                               

Professional Development Activities:

                                                                                                                                               

                                                                                                                                               

                                                                                                                                              

                                                                                                                                              

                                                                                                                                               

                                                                                                                                               

Community Involvement:                

                                                                                                                                               

                                                                                                                                               

                                                                                                                                              

                                                                                                                                              

                                                                                                                                               

                                                                                                                                               

Nominee’s Signature:                                                                                   Date:                    

 

Principal’s Signature:                                                                                  Date:                     

Attach your essay and letters of recommendation to this form, and submit to Melissa Hamilton (858) 496-1891, Institute Support and Professional Development, IMC, Building A, by 5 p.m., Wednesday, February 28, 2001.