Leadership Candidate Form 9 08

Leadership Candidate Nominee: ________________________________ School/Position:

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School Administrator:

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Check all that apply: ____ Teacher Leadership Institute participant Year:__________ ____ Special Education Leadership Institute participant Year:__________ ____ Currently enrolled in Leadership Studies Program at the graduate level ____ Completed coursework in Leadership Studies Program at the graduate level ____ Completed the Praxis Leadership Exam Please provide a narrative statement citing at least three (3) proven leadership behaviors exhibited by the nominee. 1. Leadership Behavior:

2. Leadership Behavior:

3. Leadership Behavior:

School Administrator completing form:

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Signature:

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Date:

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This nominee must provide one letter of recommendation by a colleague to be included as an attachment to this nomination.