Master Teacher Nomination Information Form

If you have not read the instructions, please do so now: Kansas Master Teacher Award Nomination Instructions.

Note: All fields marked with the red square are required. If a field does not apply, please enter "N/A."


Nominee Personal Information
Current School Information
Classroom Teaching Experience – include years, school, location, specific assignment; list with newest on top
Instructional Leadership Experiences (e.g., council chair, in-service presenter, lead teacher) - include years, school, location, specific assignment; list with newest on top
Organization Memberships – include years, organization, specific assignment; list with newest on top
Special Honors or Awards Received by the Nominee – year, award title, presenting organization; list with newest on top

When you click on the submit button, your browser should advance to another web page saying "Thank you for your information."

If you clicked on the submit button but you are still on this page, it means there is a problem with information you have entered. Please check the following items:

  1. Please review the information you have entered above (remember, items with in front of them are mandatory, they cannot be left blank).

  2. Please be sure the information asked for is provided in the format and size requested (less than 40 MB).

  3. If you have checked all of these, hit submit, and nothing happens, it may be an Internet browser issue. Please try a submitting your information using a different browser.

Upon hitting the "Submit" button your information will be sent to The Teachers College at ESU.

If you do not receive verification within 48 hours that your information was received, please contact Lucie Eusey at or 620-341-5830.