GOLD STAR AWARD - Teacher Application Form

Applications may be submitted using the Gold Star Application form below. Applications are due by midnight, March 24, 2010 . Late applications will not be considered. (Please limit the answers to the last 3 questions to 1000 words total).  Please do not submit additional materials.  Winners of The Gold Star Awards will be notified in May. The Gold Star Awards and cash prizes are not transferable. Decisions of the Gold Star Awards Committee are final. Please direct all questions to the Gold Star Intern of the McElroy Trust, at (319) 287-9102.

You will receive a return verification when your online application is received at the McElroy office. If you do not receive verification, please contact the McElroy Trust at 319-287-9102.

                                                            It is recommended that you:

  • First complete your responses in a word document.Click here to download MS Word Application
  • Limit your response to the last three questions to 1000 words total.
  • Edit your response for clarity and form.
  • Cut and paste the final draft of your response into the box below

 

Online Application Form:
Your Email Address
   
Email:
 
Your Information: 
           
First Name M Last Name
Address
City State Zip
Telephone Fax
Are you retiring this year? Yes No Number of years teaching
 
Name and address of school in which you presently teach:
   
Name
Address
City State Zip
Your Position
 
References:
       
School principal  Telephone
Colleague Telephone
Student's parent or community citizen: Telephone
 
Educational Background :
           
Dates: Institution/ Location Degree:
Dates: Institution/ Location Degree:
Dates: Institution/ Location Degree:
 
Teaching Background :
           
Dates: Location Position
Dates: Location Position
Dates: Location Position
 
Community Involvement :

 

PLEASE ANSWER THE FOLLOWING QUESTIONS WITH SPECIFIC EXAMPLES:
I.Share specific examples of how you have a made a difference in the lives student(s)? (Applications that have distinguished themselves in the past usually included stories, examples and/or details)

II. How have you enhanced the curriculum with instructional methods that excite students about learning? 
 
III. What efforts have you made to support your colleagues and further the teaching profession?