Distinguished Teacher Nomination Form

Thank you for nominating a distinguished teacher for one of our scholarships!

We want to support emerging leaders and high-achievers with the capacity to lead and positively impact others through their work.

We guarantee a scholarship for nominees that are admitted to one of our programs. Please note, being nominated for a scholarship does not guarantee admittance to a program. All nominees must apply to a program before being admitted.

Questions? Please feel free to contact us at: graduateadmissions@mtholyoke.edu or 413-538-3478.

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Your Information

Your First Name

Your Last Name

Your Email Address

What Organization Do You Work For?

Your Title

Which Distinguished Teacher Leadership scholarship were you awarded?

What is your relationship to the nominee?

The Nominee

Nominee's First Name

Nominee's Last Name

Nominee's Email Address

What organization does the nominee work for?

Nominee's Title

Nominees are eligible for $10,000 towards a master's degree or 33% discount per credit toward a professional development institute through our Distinguished Teacher Leader award.

Briefly tell us why you are nominating this person for a scholarship?

Thank you for your nomination! We will be in touch with them soon to let them know they have been nominated.

Distinguished Teacher Nomination Form

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