SUPERINTENDENT'S ANNUAL MARK MANN EXCELLENCE AND HARMONY AWARD 2015 NOMINATION FORM The Mark Mann Excellence and Harmony Award was established to identify and celebrate a Montgomery County Public Schools principal who best exemplifies the superior professional and personal characteristics demonstrated by the late Mark Mann, former principal of Parkland Junior High School. WHERE TO SUBMIT FORM Montgomery County Public Schools Office of Human Resources and Development Attn: Angela King 45 W. Gude Drive, Ste. 2100 Rockville, Maryland 20850 DEADLINE: January 9, 2015 QUESTIONS: Call Angela King at 301-279-3900 I. NOMINEE INFORMATION Nominee Name: School: Cluster: Current Position: Length at Current Position: If less than two years, please list former school assignment: Candidate must have a minimum of two years experience as a principal. Superintendent's Annual Mark Mann Excellence and Harmony Award NOMINATION FORM Page 2 Nominee: II. NOMINEE CREDENTIALS Instructions: Complete one introductory nomination paragraph under each of the following categories. Nominations must be three to five pages in length. The nominee has shown exceptional performance in promoting the following categories: 1. Academic excellence 2. Positive human relations 3. Community Outreach Superintendent's Annual Mark Mann Excellence and Harmony Award NOMINATION FORM Page 3 Nominee: 4. Additional supporting information Additional information to support your nominee's superiority in these categories can be typed in at the end of this document. III. NOMINATOR INFORMATION Nominator Name: Phone: Please give a one-sentence explanation of nominator's relationship to the nominee (e.g., member of the PTA, teacher, counselor, student, citizen): Do you have a supporter? ___ Yes ___ No Nominations must be supported by at least two of the following: (1) a student; (2) a staff member; or (3) a parent. Supporter is a (please select one): ___Student ___Staff Member ___ Parent IV. SUPPORTER INFORMATION Supporter Name: ___Community Member/Citizen Phone: Please give a one-sentence explanation of nominator's relationship to the nominee (e.g., member of the PTA, teacher, counselor, student, citizen): Are there others who support this nomination? Please list name(s): Superintendent's Annual Mark Mann Excellence and Harmony Award NOMINATION FORM Page 4 Additional supporting information Please limit this entry to two pages of text or 800 words. Superintendent's Annual Mark Mann Excellence and Harmony Award NOMINATION FORM Page 5
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