MERIT 2015 Principal Support Form

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Dear Principal,

Thank you for supporting your staff member's application for the MERIT 2015 Program at the Krause Center for Innovation.

> For direct online access to this form: http://goo.gl/B9R2fI . Do not fill out the PDF copy of this online form.

> For information about this Principal Recommendation Form, visit:
https://sites.google.com/site/kcimeritprogram/home/principal-recommendation
> For more information about MERIT, please visit http://tinyurl.com/KCI-MERIT

It is the MERIT Program goal that any teacher from your school who participates in MERIT will be confident and empowered to share their MERIT experience with other members of your school community. That's the power of multiplication through inspired teachers.

Your answers to the questions in this form are a REQUIRED component of every application. The applicant's application will NOT be considered without your completed recommendation form. The due date is:
Monday, January 19, 11:59pm (Martin Luther King, Jr. Day, midnight).

Your answers are confidential, I am the only one who reads them; please offer your honest appraisal of the strengths and weaknesses of the applicant. Your reflections on the applicant help us build teams from the same school site and create the best possible cohort of teachers.

If there is more than one applicant from your school, you will need to submit this form for each applicant.

NOTE: Be aware there is no guaranteed way to save a partially completed Google form; we advise preparing answers to all questions in a word processing application in advance of filling out the application form. You can download a PDF of this form at: https://sites.google.com/site/kcimeritprogram/home/principal-recommendation.

If you have questions about the MERIT program or the application process, please contact me. If this idea of MERIT intrigues you and you're wondering how to get more of your teachers involved, then you may be interested in bringing a mini-MERIT (5-day) program to your school site. Ask me how.

Steven McGriff, Ph.D. Professor in Residence
Krause Center for Innovation
mcgriffsteven@foothill.edu
650/949-7681

Principal First Name *

Principal Last Name *

Principal School Name *

Principal School District *

Please spell out the district's name. If your school does not belong to a district (such as with a charter school), please say so.

Principal Email: *

Principal Work Phone Number *

Please include the area code

Identify the teacher you are recommending: First Name *

Identify the teacher you are recommending: Last Name *

Describe the applicant's teaching and learning strengths. *

Please respond with 150 words or less.

Describe the applicant's effectiveness in sharing his or her knowledge and skill with colleagues. *

Please respond with 150 words or less.

The MERIT Program requires considerable time and dedication. Describe the applicant's ability to meet deadlines, serve reliably as part of a team, and go beyond minimum expectations. *

Please respond with 150 words or less.

Optional: Is there anything else you would like us to know about this applicant?

Please respond with 150 words or less.

Choose your level of support for this applicant's participation in MERIT *

Please indicate whether you will be able to support this teacher in his or her efforts to use technology innovatively to better engage students in their learning.

I will be able to fully support this applicant.

I have reservations about supporting this applicant that you should know (please explain in next question item)

Optional: Please describe any reservations you have with supporting this applicant:

If you have any reservations, indicated in the item above, write them here.

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