NOMINATION FOR

Oklahoma School Administrator Award

Copy and paste application to Microsoft Word 97 or later, along with the supporting documents, and email as
attachments to elaine_regier@sde.state.ok.us by June 15

(If necessary, you may save your files as .txt files)

FOR THE SCHOOL YEAR __________

Name of Nominee ___________________________________________________________________________

Title                        ____________________________________________________________________________

School District      ____________________________________________________________________________

School Site            ____________________________________________________________________________

Business Address               _____________________________________________________________________

                                                 ____________________________________________________________________

Name of Certified Media Specialist   _________________________________________________________________

Name of Library Assistant ________________________________________________________________________

Nominated by       ________________________________________________________________________________

                  Position or Title                __________________________________________________________________

                   School Address                __________________________________________________________________

                   Phone                                ___________________________________________________________________

Signed    _________________________________________________     Date                ____________________________

Number of grades served by the Media Center              ______________________________________________________

Number of students served by the Media Center          ______________________________________________________

Expenditures for the Media Center for the past year:

                                                District Budget:  _______________________     Other Expenditures:  _____________________

Classify school(s) served   ________________________________________________________________________

                                                                                              (Elementary, Middle, Junior High, High School, Other)

NOMINATION STATEMENT

The text of the nomination statement may be made in either narrative or tabular form. It should cover (on separate pages):

 1. A description of the administrator's actual contribution (project, program effort) that  promoted school library
 media services and the improvement noted as a result of his/her efforts. The text should not exceed 600 words.

 2.  The administrator's personal statement of his/her concept of library media services in the  school system. The statement
 should not exceed 250 words.

 3. Biographical data in brief.

 4.  One letter of recommendation from a classroom teacher who utilized the improved media services.

5. One letter of recommendation from a student who enjoyed and benefited from the improved  library media services.

6.  No other materials are to be appended.

 All parts of the nomination must be submitted electronically in Microsoft Word 97 or later
or saved as .txt files.  These should be sent as attachments via email to elaine_regier@sde.state.ok.us

NOTE: Nomination Must Be Received On Or Before June 15