Massachusetts Distinguished Educators

Talent Pool Recommendation Form
We invite you to recommend distinguished elementary classroom teachers, specialists, and/or principals who have demonstrated all of the following:

Exceptional educational talent as evidenced by effective and innovative instructional practices and student learning results in the classroom and school;
Exemplary educational accomplishments and leadership beyond the classroom that provide models of excellence for the profession;
Individuals whose contributions to education are largely unheralded yet worthy of the spotlight;
Early- to mid-career educators who offer strong long-range potential for professional and policy leadership; and
Engaging and inspiring presence that motivates and impacts students, colleagues and the community.

Please complete a separate form for each individual and optionally a one-page letter explaining how this person meets the criteria outlined in this form. Please include a resume for each recommendation.

THIS IS A CONFIDENTIAL PROCESS.
INDIVIDUALS SHOULD NOT BE AWARE OF THIS RECOMMENDATION.

1. Name of Recommended Educator *This question is required.

2. Please upload the educator's resume *This question is required.

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For teachers, grade(s) currently teaching (Please note, we are accepting recommendations for elementary educators only at this time): *This question is required.

For principals/assistant principals, grade levels in building: *This question is required.

4. Total Years in Education *This question is required.

If a principal/assistant principal, number of years as an administrator: *This question is required.

5. Will this person be at the same school site next year? *This question is required.

6. School District *This question is required.

7. School Name *This question is required.

8. School Address (including Phone and Fax)

9. Educator's Supervisor *This question is required.

10. Supervisor's Phone *This question is required.

11. Supervisor's Email *This question is required. This question requires a valid email address.

RATE educator from 1-10 (10 being highest) on the following four criteria and provide a paragraph to explain your rating. Be detailed and thorough, with examples whenever possible.

12. Exceptional educational talent as evidenced by effective instructional and innovative practices and student learning results in the classroom and school. *This question is required.

13. Please explain your rating. (150 words minimum) *This question is required.

14. Exemplary educational accomplishments and leadership beyond the classroom that provide models of excellence for the profession. Include committees, mentoring, news items, publications, presentations. *This question is required.

15. Please explain your rating. (150 words minimum) *This question is required.

16. Strong long-range potential for professional and policy leadership including teacher leadership, mentoring. Predict the educator’s potential to remain in education for at least 25 more years and demonstrate and increase leadership impact in the profession. *This question is required.

17. Please explain your rating. (100 words minimum) *This question is required.

18. 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.? *This question is required.

19. Please explain your rating. (150 words minimum) *This question is required.

20. Cite evidence of student achievement gains as a result of the educator's practices, even if from a previous year. *This question is required.

21. Cite awards the educator has received.

22. Other comments.

23. Education (including schools attended, degrees, graduation years)

25. Please list the names, phone numbers, and emails of three professional references other than you for the educator. We may call and talk to them. They should know the educator currently and very well. (They should either be a current colleague, or have worked with the educator as recently as one year ago.)
*This question is required.

Space Cell	Name	Title	Phone (Work or Home)	Email
Professional Reference 1	Professional Reference 1: Name	Professional Reference 1: Title	Professional Reference 1: Phone (Work or Home)	Professional Reference 1: Email
Professional Reference 2	Professional Reference 2: Name	Professional Reference 2: Title	Professional Reference 2: Phone (Work or Home)	Professional Reference 2: Email
Professional Reference 3	Professional Reference 3: Name	Professional Reference 3: Title	Professional Reference 3: Phone (Work or Home)	Professional Reference 3: Email

26. (Optional) Please upload a one page narrative addressing how the recommended educator meets the criteria outlined above. This narrative must be written in your own words addressing the criteria above.

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27. Your Name *This question is required.

28. Your Title *This question is required.

29. Your Phone Number *This question is required.

30. Your email address *This question is required. This question requires a valid email address.