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LI ESOL ESL TEACHER CANDIDATE OF THE YEAR
AWARD NOMINATION FORM
NAME OF NOMINEE:
______________________________________________________________________________
NOMINEE’S HOME ADDRESS: (include city, state, zip)
______________________________________________________________________________
______________________________________________________________________________
HOME PHONE: (____) ____--__________
EMAIL:______________________________________________________________________
NAME OF INSTITUTION OF HIGHER EDUCATION (IHE):
_____________________________________________________________________________
ADDRESS OF IHE:
______________________________________________________________________________
______________________________________________________________________________
TOTAL COMPLETED CREDITS: ________________________________________________
EXPECTED DATE OF GRADUATION: ___________________________________________
NAME OF NOMINATOR:
______________________________________________________________________________
WORK PHONE: (____) ____--__________
EMAIL:______________________________________________________________________
SCHOOL OR INSTITUTION OF HIGHER EDUCATION:
_____________________________________________________________________________
ADDRESS OF IHE OR SCHOOL:
______________________________________________________________________________
______________________________________________________________________________
CURRENT POSITION: __________________________________________________________
RELATIONSHIP TO NOMINEE: __________________________________________________
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LI ESOL ESL TEACHER CANDIDATE OF THE YEAR AWARD NOMINATION FORM
Using the space below, in 250-500 words, please tell us why your nominee working
towards NYS ESOL teacher certification or a BS/MS degree in TESOL should be our
Long Island ESL Teacher Candidate of the Year. How has this nominee met “higher
expectations” in and out of his/her teacher education program? You may address as many
of the following areas as possible:
Knowledge, skills, and dispositions to become an ESL Professional
Commitment to serve the ELL population in and outside of the school setting
Special talents
Experience in the field of ESL (volunteering and service learning included)
Willingness to collaborate with colleagues
Demonstration of ongoing professional growth 
 davido.extraxim@gmail.com