Nomination Form – North Carolina Music Educators Association

Name of candidate*
Prefix First Last Suffix
Statement of nomination:*
Create a statement which encapsulates the qualities you feel support your nomination of this candidate and which would be appropriate for reading at the award ceremony as a summary of their achievements.
Educational Background/Collegiate Awards*
List these
Post graduate study/Degrees/ Awards*
List these
Teaching history in NC*
List these
Awards received*
List these teaching awards
Elected and/or appointed leadership positions*
teaching/music related within our state
State Contest/All-State/ Honors Chorus/ Summer Program participation*
List ALL these if number of superior ratings are known, list the number and/or list years of participation in each category.
MENC/ADCA Offices/Performances*
refers to National level leadership/performances, List these
NC-MEA/NC-ACDA Offices/Performances*
refers to State leadership/performances, List these
Other professional organizations/affiliations*
Can be nonmusical or musical, List these
Church/Community Leadership*
List these, nonmusical and musical , if not already noted
School/Church/Community Awards and Recognition's*
List these, not already noted
Nominee Phone*
Nominee Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Nominee Email*
Contact for Relatives*

Performance Submission
Performance selection:*
Date*
Date Format: MM slash DD slash YYYY
Place*
For*
Additional musicians:
Performance Recording
Can be in any recorded format, 3-5 minutes maximum. Care should be taken to obtain the BEST representative performance recording possible as these will be posted on the NCMEA website and available for study to members and future conductors as exemplary. If file upload size is too large, please upload to the service of your choice (Dropbox, Google Drive, YouTube, Vimeo, etc) and submit the URL below.
Link to File (optional)

Photo of Nominee
Photo of your nominee will be used in our magazine - along with your statement of nomination.

Sponsor Information
Due to the extraordinary nature of this Award three sponsors are required and may complete the form as a committee. Care should be taken to assure all information provided on the nominee is listed chronologically and is absolutely accurate.
Primary Sponsor
Name*
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Email*
Enter Email Confirm Email
Secondary Sponsor
Name*
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Email*
Enter Email Confirm Email
Third Sponsor
Name*
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Email*
Enter Email Confirm Email
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Performance Submission