Future Reflections Winter/Spring 2005
National
Federation of the Blind Distinguished Educator of Blind Children Award
2005 Application
Deadline: May 15, 2005
Name:_______________________________________________________________������������
Home address:_________________________________________________________������������
City, State, Zip:_________________________________________________________
Phone: (H)____________________________________________________________
(W)____________________________________________________________
(C)_____________________________________________________________
Email:_________________________________________________________________
School:________________________________________________________________
Address:_______________________________________________________________
City, State, Zip:__________________________________________________________
Use a separate sheet of paper and answer the following:
� List your degrees, the institutions from which they were received, and your major area or areas of study.
� How long and in what programs have you worked with blind children?
� In what setting do you currently work?
� Briefly describe your current job and teaching responsibilities.
� Describe your current caseload, e.g., number of students, ages, multiple disabilities, number of Braille-reading students, etc.
Attach the three required letters to this application and send all material by May 15, 2005, to:
Sharon Maneki, Chairwoman, Teacher Award Committee, 9013 Nelson Way, Columbia, Maryland 21045-5148, <[email protected]>, (410) 715-9596.