Golden Apple Award Nomination Form

Nominator's Information

Nominator's First Name (required)

Nominator's Last Name (required)

Nominator's School Site (required)
Not A TALB MemberAddams ElementaryAlvarado ElementaryAnaheim Head StartArtesia Head StartAtlantic Heas StartAvalon SchoolBancroft Middle SchoolBarton CDCBarton ElementaryBethune Head StartBirney ElementaryBirney Head StartBixby ElementaryBryant ElementryBuffum Head StartBuffum Pre-K TLCBurbank CDCBurbank ElementaryBurcham CDCBurcham ElementaryBurnett Head StartBurroughs Head StartBurroughs ElementaryButlerCAMS High SchoolCabrillo High SchoolCarmelitos HSCarver CDCCarver ElementaryCedar Head StartCentral CDCCesar Chavez Head StartCesar Chavez ElementaryCleveland ElementaryCoronado Head StartCubberley ElementaryDooley CDCDooley ElementaryEPHS High SchoolEdison CDCEdison ElementaryEdison Head StartEight Street Head StartElm Street Head StartEmerson ElementaryFranklin Classical Middle SchoolFremont ElementaryGant ElementaryGarfield CDCGarfield ElementaryGarfield Head StartGaviota Head StartGompers ElementaryGrant CDCGrant ElementaryHamilton Middle SchoolHarte ElementaryHarte Head StartHenry ElementaryHenry Head StartHerrera ElementaryHolmes CDCHolmes ElementaryHoover Middle SchoolHudson CDCHudson ElementaryHughes Middle SchoolInternational Head StartJefferson AcademyJordan High SchoolKeller Middle SchoolKettering CDCKettering ElementaryKing HSLB Adult School/Beach High SchoolLafayette ElementaryLakewood High SchoolHerrera Head StartLincoln CDCLincoln ElementaryLindbergh Middle SchoolLindsey Head StartLindsey Middle SchoolLog Beach City College Head StartLong Beach BLVD Head StartLongfellow ElementaryLos Cerritos ElementaryLowell ElementaryMacArthur ElementaryMacArthur Head StartMadison ElementaryMann CDCMann ElementaryMarshall Middle SchoolMcBride High SchoolMcKinley CDCMcKinley ElementaryMillikan High SchoolMuir CDCMuir ElementaryNaples ElementaryNelson Middle SchoolNewcomp Academy k-8Oropeza ElementaryPacific Head StartPine Head StartPlymouth Head StartPoly High SchoolPowell Academy K-8Powell CDCPrisk ElementaryTeachers Resources CenterReid CDCReid High SchoolRenaissance High SchoolRiley CDCRiley ElementaryRobinsonRobinson Head StartRogers Middle SchoolRoosevelt ElementaryRoosevelt Head StartSato AcademySignal Hill ElementarySignal Hill Head StartSmith ElementarySmith Head StaratStanford Middle SchoolStarr King ElementaryStephens Middle SchoolStevenson CDCStevenson ElementaryTincher CDCTincher ElementaryTucker Administrative OfficesTwain CDCTwain ElementaryTwelfth Street Head StartWashington Head StartWashington Middle SchoolWebster CDCWebster ElementaryWebster Head StartWest CDCWhittier CDCWhittier ElementaryWhittier Head StartWillard CDCWillard ElementaryWilson High School

Nominator's Contact Email Address (required)

Nominator's Contact Phone (required)

Please include area code!

Nominee's Information
Nominee's First Name (required)

Nominee's Last Name (required)

Nominee's School Site (required)
Not A TALB MemberAddams ElementaryAlvarado ElementaryAnaheim Head StartArtesia Head StartAtlantic Heas StartAvalon SchoolBancroft Middle SchoolBarton CDCBarton ElementaryBirney ElementaryBirney Head StartBixby ElementaryBryant ElementryBuffum Head StartBuffum Pre-K TLCBurbank CDCBurbank ElementaryBurcham CDCBurcham ElementaryBurnett Head StartBurroughs Head StartBurroughs ElementaryButlerCAMS High SchoolCabrillo High SchoolCarmelitos HSCarver CDCCarver ElementaryCedar Head StartCentral CDCCesar Chavez Head StartCesar Chavez ElementaryCleveland ElementaryCoronado Head StartCubberley ElementaryDooley CDCDooley ElementaryEPHS High SchoolEdison CDCEdison ElementaryEdison Head StartEight Street Head StartElm Street Head StartEmerson ElementaryFranklin Classical Middle SchoolFremont ElementaryGant ElementaryGarfield CDCGarfield ElementaryGarfield Head StartGaviota Head StartGompers ElementaryGrant CDCGrant ElementaryHamilton Middle SchoolHarte ElementaryHarte Head StartHenry ElementaryHenry Head StartHerrera ElementaryHolmes CDCHolmes ElementaryHoover Middle SchoolHudson CDCHudson ElementaryHughes Middle SchoolInternational Head StartJefferson AcademyJordan High SchoolKeller Middle SchoolKettering CDCKettering ElementaryKing HSLB Adult School/Beach High SchoolLafayette ElementaryLakewood High SchoolHerrera Head StartLincoln CDCLincoln ElementaryLindbergh Middle SchoolLindsey Head StartLindsey Middle SchoolLog Beach City College Head StartLong Beach BLVD Head StartLongfellow ElementaryLos Cerritos ElementaryLowell ElementaryMacArthur ElementaryMacArthur Head StartMadison ElementaryMann CDCMann ElementaryMarshall Middle SchoolMcBride High SchoolMcKinley CDCMcKinley ElementaryMillikan High SchoolMuir CDCMuir ElementaryNaples ElementaryNelson Middle SchoolNewcomp Academy k-8Oropeza ElementaryPacific Head StartPine Head StartPlymouth Head StartPoly High SchoolPowell Academy K-8Powell CDCPrisk ElementaryTeachers Resources CenterReid CDCReid High SchoolRenaissance High SchoolRiley CDCRiley ElementaryRobinsonRobinson Head StartRogers Middle SchoolRoosevelt ElementaryRoosevelt Head StartSato AcademySignal Hill ElementarySignal Hill Head StartSmith ElementarySmith Head StaratStanford Middle SchoolStarr King ElementaryStephens Middle SchoolStevenson CDCStevenson ElementaryTincher CDCTincher ElementaryTucker Administrative OfficesTwain CDCTwain ElementaryTwelfth Street Head StartWashington Head StartWashington Middle SchoolWebster CDCWebster ElementaryWebster Head StartWest CDCWhittier CDCWhittier ElementaryWhittier Head StartWillard CDCWillard ElementaryWilson High School

Nominee's Contact Email Address (required)

Nominee's Contact Phone (required)

Please include area code!

Segment (required)
ElementarySecondary

How long has the nominee been teaching with LBUSD?

How long has the nominee been teaching (total career)?

Choose at least three (3) of the categories below (A through E) on which this nomination is based and write a statement of support under each chosen category.

CATEGORY A: Superb professional performance by the nominee IN THE CLASSROOM(S) or CAMPUS(ES). Such performance generally should be recognized by the faculty at the nominee's school site.

CATEGORY B: Participation in District or community activities DIRECTLY related to a classroom assignment conducted outside of the classroom.

CATEGORY C: Participation in District or Community activities INDIRECTLY related to a classroom assignment conducted outside of the classroom (ie. membership in professional, fraternal, social, religious organization, and appropriate leadership role discharged, etc.)

CATEGORY D: Outstanding participation in EDUCATION-RELATED professional organizations.

CATEGORY E: Outstanding participation and involvement IN THE COMMUNITY, not directly related to career.

Optional Supporting Materials

You may also write your own testimonial, web links, news, publications, descriptions of other achievements and recognition that the nominee has received, or any other type of evidence demonstrating the nominee's contributions to the school and community.