Creative Ticket – National Schools of Distinction National Level Nomination Checklist for Submission to KCAAEN Completed Nomination Form Complete Nomination Questions One VHS of - and Three - Five 35 mm color slides of student artwork – student's work, exhibits, class activities and/or performances. Please note: videotapes should be no longer than 20 minutes in length. It is preferred that you provide actual footage of students engaged in the arts. For consideration on the national level, support materials should provide examples of all four major artistic disciplines (dance, music, theatre, and visual art). Video Release Form (if applicable) Letter from the Principal, which includes a statement regarding the school’s academic ranking in comparison to other schools in the state. (required) Principals should also indicate in their letter whether they are a member of NAESP (National Association of Elementary School Principals) and/or NASSP (National Association of Secondary School Principals) and/or their state affiliate organizations for consideration for the Principal’s Arts Education Leadership Award. (Membership not required for your school to receive the award; however, your providing this information is greatly appreciated.) A paragraph (150-300 words) which could be used for public distribution that provides a summary description of the school’s art program. 2006 KCAAEN Creative Ticket Award National Level Nomination Form 1 Creative Ticket – National Schools of Distinction Award National Level Nomination Form for Submission to KCAAEN This form may be photocopied if additional forms are needed. Please type or print. Nominated Creative Ticket – Schools of Excellence Winner School Name: Principal: School District: School Address: City: State: Phone: Fax: Zip: E-mail: Grade Levels : Magnet School: ___Yes ____No Integrated Arts School: _____Yes _____No Press Contact (Name and Number): If your school was selected as a Winner and asked to perform at the Kennedy Center what would your program contain? Please note this would be in the school year following the initial nomination.* Information Regarding Person from Alliance Submitting Nomination Name: Title with State Alliance: Name of State Alliance: Phone: Fax: Email Address: Please return this form with checklist and nomination questions to: KCAAEN Education Department The John F. Kennedy Center for the Performing Arts 2700 F Street, NW Washington, DC 20566 202-416-8817 *Note: This question is asked based on the possibility of inviting winning schools to showcase their students in performance at the Kennedy Center. The performance is not designed as a national award ceremony. Only the performing arts will be featured. Based upon the opportunities available for the year of the award, the winning schools will be invited to submit a proposal to the Kennedy Center, including what they would like to present. All program content and technical requirements must meet the guidelines provided by the Kennedy Center and are subject to the exclusive approval of the Kennedy Center in accordance with specified deadlines. The Kennedy Center reserves the right to withdraw the invitation to perform if the school’s proposal does not meet the intent and criteria of the performance opportunity. 2006 KCAAEN Creative Ticket Award National Level Nomination Form 2 Creative Ticket –National Schools of Distinction Description of Outstanding Arts Program Nomination Questions The following questions will help entry reviewers determine whether the goals of the campaign were incorporated into the student learning experience. If necessary please complete on separate pages, not to exceed a total of six (6) pages.. 1. Please provide a brief description of how arts education is an essential component in your schools curriculum. Are the arts integrated in to several subject areas or taught as specific subjects? 2. Explain how the program being nominated creates and uses imaginative learning approaches and environments for teaching the arts and recognize that the arts are critical and essential to education. 3. Please give specific examples of the opportunities provided for parental involvement in the educational lives of their children through hands-on, creative arts-based activities. 4. How does this program provide students opportunities for learning about other cultures through the arts? 5. How does this program link arts education to the community and provide community connections that build value and respect for it by offering students diverse experiences beyond the classroom? 6. Please provide whatever academic ranking(s) is/are available that serve as testimony to how your students are achieving in comparison to other students in the district, state, and nation. The comparison of your students to others in your state is of particular interest. 2006 KCAAEN Creative Ticket Award National Level Nomination Form 3 THE JOHN F. KENNEDY CENTER FOR THE PERFORMING ARTS WASHINGTON, D.C. 20566-0001 202 416-8817 416-8000 FAX 202 416-8802 416-8205 Video Consent and Release I hereby consent to the use of my name, voice reproduction, and all video images of me from the videotape ________________________________________ for educational, informational, developmental, promotional, and archival purposes. I hereby discharge the Kennedy Center and its licensees, assignees, and contractors from any and all claims and demands arising out of or in connection with the use of the aforementioned videotape. Signed __________________________________________ Date ___________________ School Official’s Title __________________________________________________ Name of School ____________________________________________________________ Address __________________________________________________________________ __________________________________________________________________ Phone _______________________________________ 2006 KCAAEN Creative Ticket Award National Level Nomination Form 4