Mark Mann Nomination Form

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
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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
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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
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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
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