Program Of Excellence Application - New York State English Council

Program Of Excellence Award Application

"*" indicates required fields

Title of Program:

Location of exemplary English Language Arts Program:*

Address*

Street Address Address Line 2 City State ZIP Code

Date of Implementation:

School Name:*

Phone Number*

Name of school district/diocese:*

Address of school district if different from above

Street Address Address Line 2 City State ZIP Code

NYSEC Member Contact Person:

Name of NYSEC Member*

First Last

School Address:*

Street Address Address Line 2 City State ZIP Code

Phone Number:*

Summer Email:*

Summer Phone:*

School Official Authorizing this Application

Name

First Last

Title*

Phone*

Type of School:*

Public School

Private School

Number and grade level(s) of students nominated program:*

Number of Students in School:*

Number of Students in District:*

Last day of classes, spring term:*

District agrees to present workshop at October conference?*

Yes

Contact Name

Contact Phone

Provide, below, a description of the program, including a curriculum outline with rationale and objectives*

Supporting documentation of teacher and student work: assignments/projects/handouts.

Supporting Documentation File #1*

Accepted file types: pdf, Max. file size: 768 MB.

Please provide in pdf format

Supporting Documentation File #2

Accepted file types: pdf, Max. file size: 768 MB.

Program Of Excellence Award Application

NYSEC Member Contact Person:

School Official Authorizing this Application

NYS English Council

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