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  • zzz_ALAS 2026 OTY Awards Nominations Form

    Step 1 of 6

    16%

    State Affiliate Information

    State Affiliate Representative's Name(Required)
    Service to the Community
    (to be completed as applicable)
    Community Association/Organization
    Office Held/Awards Received
    Date(s)
     

    State Information

    State School Demographic Composition
    % American Indian/ Alaskan Native
    % African-American/ Black
    % Native Hawaiian/ Pacific Islander
    % Asian
    % Hispanic/Latino
    % Caucasian/White

    Nominee's Personal Information

    Nominee's Full Name(Required)
    Nominee's Personal Address(Required)

    Nominee's Professional Information

    If not applicable, type N/A
    (skip this question if they do have a current position)
    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/School Information

    To be completed as applicable
    School District Superintendent's Name
    District Setting
    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)

    Three Most Significant Accomplishments

    (may be submitted as separate attachments)
    Drop files here or
    Max. file size: 100 MB.
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      Max. file size: 100 MB.
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        Max. file size: 100 MB.

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