Nomination Form – Proclamation 2015 (Page 1 of 2)

District Instructional Materials and Educational Technology (IMET) Selection Committee

Teacher Nominee’s Name
Gender / Ethnicity/Race
Home Phone / Mobile Phone
Email Address
School
Current Teaching Assignment(s)
Years Teaching (total) / Years Teaching (in this area/grade)
Certifications / Endorsements
Honors / Awards / Achievements
Nominated Teacher’s Statement
I understand that I have been nominated to serve on one of the district instructional materials and educational technology selection committees for the grade/subject identified above. If selected, I agree to:
·  Be free of any conflict of interest and sign a form committing to that.
·  Refrain from contact with publishers during the adoption process period – November 18,, 2014 through January 16, 2015 or until a Board decision is finalized – except as an activity of the committee as a whole.
·  Work with the other committee members, under the direction of the content area chair(s), to develop criteria to evaluate instructional materials and technology.
·  Review and evaluate, in collaboration with the other subcommittee members, the instructional materials and educational technology from the state for local consideration.
·  Assist teachers on school-level subcommittees in reviewing instructional materials, as appropriate.
·  Attend and participate in all committee meetings. (List will be provided)
·  Attend and participate in textbook publishers’ hearing(s) as scheduled.
·  Review input received from school-level committees.
·  Collaborate with other committee members to prepare an analysis of instructional materials and technology for an IMAT conference in which recommendations will be made for consideration by the HISD Board of Education for its meeting on January 15, 2015.
Nominee’s Signature
Date
Principal’s Signature
Date

Mail to: Liz Philippi, Library Media Services, Ryan PD Bldg., Route 2/ Email to: / Fax to: 713-696-7650 (Attn: Liz Philippi)

Nomination Form – Proclamation 2015 (Page 2 of 2)

District Instructional Materials and Educational Technology (IMET) Selection Committee

Check (ü) the subject for which you have been nominated. Teacher’s Name: ______

ü / ü
Mathematics / Mathematics, Algebra I / SOCIAL STUDIES / Social Studies, Grade K (English)
Mathematics, Algebra II / Social Studies, Grade K, (Spanish)
Mathematics, Geometry / Social Studies, Grade 1, (English)
Mathematics, Pre-calculus / Social Studies, Grade 1, (Spanish)
Mathematics, Mathematical Models with Application / Social Studies, Grade 2, (English)
Mathematics, Advanced Quantitative Reasoning / Social Studies, Grade 2, (Spanish)
Mathematics, Engineering Mathematics / Social Studies, Grade 3, (English)
Mathematics, Mathematical Applications in Agriculture, Food, and Natural Resources / Social Studies, Grade 3, (Spanish)
Mathematics, Statistics and Risk Management / Social Studies, Grade 4 (English)
Mathematics, Robotics Programming and Design / Social Studies, Grade 4, (Spanish)
FINE ARTS and Career & Technical Education / Art, Grades K-12 / Social Studies, Grade 5, (English)
Music, Grades K-12 / Social Studies, Grade 5, (Spanish)
Theatre, Grades K-12 / Social Studies, Grade 6, (English)
Dance, Grades K-12 / Social Studies, Grade 6, (Spanish)
Music Studies, Grades 9-12 / Social Studies, Grade 7, (English)
Musical Theatre, Grades 9-12 / Social Studies, Grade 7, (Spanish)
Technical Theatre, Grades 9-12 / Social Studies, Grade 8, (English)
Social Studies, Grade 8, (Spanish)
CATE / United States History Studies Since 1877
Principles and Elements of Floral Design / World History Studies
World Geography Studies
United States Government
Economics with Emphasis on the Free Enterprise System and its Benefits
Psychology
Sociology

Mail to: Liz Philippi, Library Media Services, Ryan PD Bldg., Route 2/ Email to: / Fax to: 713-696-7650 (Attn: Liz Philippi)