HOF Nomination Form - aaeahp.org

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Nominate an individual for the AAEAHP Hall of Fame.

AWARD NOMINATION

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Which Award Are You Nominating For?

Hall of Fame Nomination

The individual should have made significant contributions to the educational experience of African Americans in Dallas County, 1902 - present.

Documentation must be submitted with application. Incomplete applications will not be considered or processed. Label each supporting document with the name of the nominee in the upper right-hand corner.
Please use one form per nomination.
DO NOT SEND PHOTOS.
Notification Procedure for Educators Hall of Fame Selection
Individuals who are chosen as living inductees for the Educators Hall of Fame will receive notification both by telephone and by email. In the case of deceased honorees, their family members and/or the person who submitted their nomination will be contacted in the same way. Nominees who are not selected may still be considered in future years if their nominator updates the nomination file and/or the AAEAHP Board of Directors approves the continued nomination. All nominees remain eligible in the selection pool for up to five (5) years.

Please print legibly or type all entries.
Educators – A minimum of 15 years in the profession and retired 3 years from a full-time position.
Non-Educators – A minimum of 3 years of service and retired 3 years from a specific educational endeavor.

Hall of Fame Permission and Verification Form

Hall of Fame Nomination Form

a. Most significant accomplishments – MAXIMUM OF 5 ONE-LINERS, BULLETED. Please provide supporting documentation.

b. Education - Colleges/University

c. Earned degrees, Honorary Degrees

d. Community/Civic Involvement - Church, Fraternities/Sororities, Clubs, Organizations, Other

e. Work History

f. Mini bio (between 105 and 115 words)

Letter of Testimony (a recommendation) - at least one (1); This letter cannot be written by the Nominator.

Other documents (Optional) (e.g., printed materials, 5-page limit...)

Special Awards

The individual nominated in these categories should have made a significant contribution to the field of education for a minimum of 5 years.

Pioneer: 1867-1902 - Educators and others who contributed to the development of schools, provided space, resources to support educational experience for African Americans in Dallas County (e.g. churches, other organizations).

Trailblazer – Since 1902 - Educators and others who were first to make a contribution in an area related to the education of African Americans in Dallas County (e.g., first African American Superintendent in Dallas County, first person to initiate strategies to forge desegregation, first African American on the DCCCD Board…)

Outstanding Practicing Current Educator - Outstanding practicing educators who have served 10 or more years with documented service of excellence.

Thelma Page Richardson Risk Taker – Documented risk-taking behavior (cutting edge of change, challenges the status quo, documented results)

The African American Education Archives and History Program Special Award - This award is presented to individuals or entities that have made a significant contribution related to collecting and maintaining a repository of artifacts, documents, or visual images that record the African American Education experience in Dallas County. Priority areas related to preserving the African American experience in Dallas County include oral history, archiving, curriculum development, publishing materials, displays, exhibits and other areas.

All Documentation must be submitted with application. Incomplete applications will not be considered or processed. Label each supporting document with the name of the nominee in the upper right-hand corner.
Please use one form per nomination.
DO NOT SEND PHOTOS.

Special Award Permission and Verification Form

Special Award Nomination Form

a. Most significant accomplishments – MAXIMUM OF 5 ONE-LINERS, BULLETED. Please provide supporting documentation.

b. Education - Colleges/University

c. Earned degrees, Honorary Degrees

d. Community/Civic Involvement - Church, Fraternities/Sororities, Clubs, Organizations, Other

e. Work History

f. Mini bio (between 105 and 115 words)

Letter of Testimony (a recommendation) - at least one (1); This letter cannot be written by the Nominator.

Other documents (Optional) (e.g., printed materials, 5-page limit...)

Please indicate which Special Award you are nominating for.*

Pioneer

Trailblazer

Outstanding Practicing Current Educator

Thelma Page Richardson Risk Taker

African American Education Archives and History Program Special Award

Nominee Information

Nominee Status*

Living

Deceased

Month Retired*

Year Retired*

Number of Years of Service in Education*

Name of Nominee*

First Last Suffix

Name of Nominee's Living Representative*

First Last

If nominee is selected, I, as nominator will solicit the support of family and friends to support the activities of this endeavor.

Nominee Address*

Street Address Address Line 2 City State ZIP Code

Nominee Phone*

Nominee's Email*

Nominee Birth Month*

Day*

Please enter a number from 1 to 31.

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Signature of Nominee*

Please note: This form must be completed in its entirety and submitted along with supporting documentation, before this nomination is considered complete:

Contact Information for Deceased Nominees – If selected

If the nominee is deceased, please list individual(s) in charge of the estate or others who can provide information (e.g., biographical information, historical documents, and other data …) If nominee is selected, I, as nominator will solicit the support of family and friends to support the activities of this endeavor.

Name*

First Last Suffix

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone*

Email*

Relationship/Organization/Source*

Nominator Information

Name of Nominator*

First Last Suffix

Nominator's Address*

Street Address Address Line 2 City State ZIP Code

Nominator's Relationship to Nominee*

Nominator's Phone*

Nominator's Email*

I officially nominate...*

First Last Suffix

for the African American Education Archives and History Program Hall of Fame.

Personal Statement About Nominee*

Please use the space above to indicate the significant contributions of this nominee and your personal knowledge/experience concerning the individual in three paragraphs or less.

Signature of Nominator*

Date

Permission and Verification

Please submit the requested documents

Most significant accomplishments.*

MAXIMUM OF 5 ONE-LINERS, BULLETED. Please provide supporting documentation.

Letter of Testimony (a recommendation)*

Drop files here or

Accepted file types: pdf, jpg, png, Max. file size: 499 MB.

At least one (1); This letter cannot be written by the Nominator.

Supporting Documentation*

Drop files here or

Accepted file types: pdf, jpg, png, Max. file size: 499 MB.

Education – Colleges/Universities*

Earned degrees, Honorary Degrees*

Community/Civic Involvement*

Church, Fraternities/Sororities, Clubs, Organizations, Other

Mini Bio*

115 words or less

Work History*

Letter(s) of Testimony or Recommendation*

Drop files here or

Accepted file types: pdf, Max. file size: 499 MB.

Please provide at least one (1); This letter cannot be written by the Nominator.

Nominee Permission and Verification Statement

I give permission for this nomination form and the accompanying materials to be shared with persons interested in promoting the African American Education Archives and History Program and the African American Museum. I acknowledge the information in this packet is true and correct. If selected, I agree to support and attend activities related to this endeavor.

Signature of Nominator*

Date of Nomination*

Hall of fame program

Reserve a Table at the HOF Luncheon

Would you like to attend the next Hall of Fame ceremony? Reserve a spot for you and your group by purchasing tickets to the special luncheon.

Honor an Individual or Memory

Has a Dallas County educator impacted your life? Recognize them with an “In Honor/In Memory” line on our Hall of Fame ceremony program.