Print this form and mail to the address below.

Pennsylvania Federation
Council for Exceptional Children

PFCEC Teacher of the Year Award

Call for Nominations

Name of nominee: __________________________________________________________

Address: __________________________________________________________________

City and State: _____________________________________________________________

Work/Home Telephone: ___________________________ / _________________________

Nominating Chapter and #: ____________________________________ #______________

Person Submitting: __________________________________________________________

Chapter Officer Position: _____________________________________________________

Address: __________________________________________________________________

City and State: _____________________________________________________________

Work & Home Telephone: _______________________ / ___________________________

Signature of Nominator: _____________________________________________________

Additional information needed to complete nomination:

  1. Completed Call for Nominations form (above).
  2. Description of the outstanding professional contributions of the nominee in the delivery of direct services.
  3. Vita of the nominee.
  4. Letters of recommendation (no more than five).
  5. Verification of membership (obtainable form CEC Headquarters).

Send completed nomination packet by July 1 to:

Dr. Gina Scala
Department of Special Education and Rehabilitation
East Stroudsburg University
East Stroudsburg, PA 18301

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