NEW MEXICO MUSIC EDUCATORS ASSOCIATION

DR. JOHN M. BATCHELLER

AWARD FOR EXCELLENCE IN TEACHING ELEMENTARY SCHOOL MUSIC

Application must be submitted electronically d by July 1st

1.  Name of Nominee:

2.  Present Address:

3.  Place & Date of Birth:

4.  Family Information:

5. Education:

6. Teaching Experience (Include years):

7. Specific Activities and Experiences Related to Teaching Music:

(Continued)

DR. JOHN M. BATCHELLER

AWARD FOR EXCELLENCE IN TEACHING ELEMENTARY SCHOOL MUSIC

8. Special Honors Related to Teaching Music:

9. Experience on Committees, Boards of the New Mexico Music Educators Association, or other educational organizations.

10. Membership in Professional Organizations & Activities:

11. High School or College Honors:

12. Community Activities & Service:

Date: ______Candidate's Signature: ______

Date: ______Nominator's Signature: ______