ALAS SOTY

ALAS National Superintendent of the Year Award Nominee Application

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Nominee's Personal Information

Nominee's Full Name(Required)

Prefix First Last Suffix

Nominee's Personal Address(Required)

Street Address Address Line 2 City State ZIP Code

Nominee's Personal Phone(Required)

Nominee's Personal Email Address(Required)

Nominee's Professional Information

Total Number of Years in Current Position(Required)

Please enter a number greater than or equal to 0.

Total Number of Years as a Superintendent(Required)

Please enter a number greater than or equal to 0.

Professional Experience (list by most recent, exclude current position/school)

Click the (+) sign to add more experience

Position

Name and Locations of District/School

Dates

Professional Preparation (If applicable, list by most recent)

Click the (+) sign to add more rows

Degree

Name of Institution

Location of Institution

Dates

Professional Activities, Awards and Honors

(to be completed as applicable)

Professional Association/Organization

Office Held/Awards Received

Date

Service to the Community

(to be completed as applicable)

Community Association/Organization

Office Held/Awards Received

Date(s)

School District Information

Name of School District

District Board President’s Name

Prefix First Last Suffix

District Board President’s E-Mail Address

District Phone Number

District Setting

Urban

Suburban

Rural

School District Enrollment

Students Receiving Free/Reduced Price Meals (%)

School District Demographic Composition

% American Indian/ Alaskan Native

% African-American/ Black

% Native Hawaiian/ Pacific Islander

% Asian

% Hispanic/Latino

% Caucasian/White

School’s Grade Level Configuration

(check one, if applicable)

Elementary / Middle School District: (includes either K-5 or K-8 may include PK)

High School District: (Grades 9-12 does NOT include Pre/ K-8)

K-12 School District (may include PK)

Three Most Significant Accomplishments

(may be submitted as separate attachments)

#1 File Upload

Drop files here or

Max. file size: 100 MB.

#2 File Upload

Drop files here or

Max. file size: 100 MB.

#3 File Upload

Drop files here or

Max. file size: 100 MB.

Superintendent of the Year Nominee Affirmation Statement(Required)

I do hereby affirm that I plan on remaining in a position of school leadership during the 2025-2026 school year.

I do further affirm that the information included in this application packet is a fair and true representation of the facts of my professional career and grant my permission to confirm all the enclosed materials as needed.

I do hereby grant my permission for any or all the enclosed materials (including my photo but excluding my home address, home and/or cell phone number, and home e-mail address) to be shared with persons and organizations interested in promoting ALAS educational leader awards and its honorees.

I agree (by checking this box, it will act as digital signature and will dated the date you submit this form.

Name of Nominee(Required)

First Last

ALAS SOTY

ALAS National Superintendent of the Year Award Nominee Application

Nominee's Personal Information

Nominee's Professional Information

School District Information

Three Most Significant Accomplishments

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