The Faculty member applying for this award must be able to demonstrate with measurable results as many of the following ten items as possible:

1. Be innovative with your use of technology
2. Demonstrate creative and effective approaches to integrating technology into your classroom instruction
3. Collaboration between colleagues and students
4. Demonstrate measurable results
5. Show major changes, improvements, enhancements all to further technology in education
6. Develop teaching materials, displaying media-rich hands-on coursework and projects for and by students
7. Inspire and promote instructional uses of technology
8. Reach beyond the classroom walls using Community Resources to transform teaching in a positive way
9. Be a facilitator integrating academics with core technologies to exemplify state-of-the-art Technology in Education
10. Ultimately the one ability that must be demonstrated by the Award winner is "Making Student Achievement the Definitive Goal"

You will need to provide a narrative of no more than two pages in length describing how you have utilized technology creatively to support education.

Applications shall also include a Portfolio of Examples documenting your
innovation, creativity and effectiveness, sharing, changes, improvements, enhancements, teaching materials, coursework, projects, community resource usage, academic and core technology integration.
Most importantly, how you are "Making Student Achievement the Definitive Goal".  The evaluation committee will use the ten rubric items above to assist in determining the top scoring portfolio entries.  

A review committee coordinated by _____ will select the winner.  Judging may be by persons not familiar with your specific subject or content area.  Therefore, your presentation must be in general terms understandable by all.
The winner will be notified at the end of (Date) _____ by (Contact Method) _____

The winner will receive a recognition plaque/trophy _____
We want to showcase our Annual Technology Innovation in Education faculty award winner in a Public announcement on the _____ Web Site at http://www_____
Winners will also receive an individual unrestricted cash award of $ _____
All awards will be presented at _____
Announcement of the winner will be made on (Date) _____by (Contact Method) _____

Name of Individual__________________________________________________________

Title/Position_______________________________________________________________

Program__________________________________________________________________

Department________________________________________________________________

Phone____________________________________________________________________

E-mail____________________________________________________________________

1.  Please provide a narrative of no more than two pages in length describing how you have used technology creatively to support education.

2.  Include a portfolio representing innovative use of technology in the classroom displaying samples of classroom work representing the instructor’s talents, proficiencies, and competency in the use of technology in education.  Samples can include a lesson plan, web site, video, or electronic presentation.  

Submission:
Send your 1-2 page summary and portfolio to:
School _____
Contact Name _____
Address _____
City _____
State _____
Zip Code _____
Phone: _____
E-mail: _____

Deadline:
Deadline for submissions is  _____

(School) _____ reserves the right to promote the prizewinner and samples of innovative instructional materials in an effort to further the field of technology use in education.
Only  (School) _____ will be eligible to participate