Program Of Excellence Application - New York State English Council

Title of Program:
Location of exemplary English Language Arts Program:*
Address*
Street Address Address Line 2 City State ZIP Code
Date of Implementation:
Date Format: MM slash DD slash YYYY
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:*
Date Format: MM slash DD slash YYYY
District agrees to present workshop at October conference?*
- Yes
- No
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.
Please provide in pdf format
Supporting Documentation File #2
Accepted file types: pdf.

NYSEC Member Contact Person: