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