Golden Bell Promise Program Awards Form 2023

Recognizing leadership excellence in educational initiatives or programs that contribute to student success and educational equity.

We recommend you prepare your responses in a Word document to copy and paste into this form.

Name of Initiative or Program(Required)

District(Required)

County(Required)

Initiative or program implementation date(Required)

Submitter's name(Required)

First Last

Submitter's Email(Required)

Enter Email Confirm Email

Submitter's Phone(Required)

Business Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Category(Required)

Elementary (Pre-K through grade 8)

High School (grades 9-12)

CTED/CTE

Excellence in Collaboration

Select only one option.

Initiative or Program Summary(Required)

If your nomination is selected the following summary will be reproduced in the ASBA Journal. Limit of 150 words.

Describe the target group for the initiative or program(Required)

50-word maximum

Duration of the initiative or program(Required)

50-word maximum

Describe how this initiative or program demonstrates creativity and innovation to make learning more engaging and effective(Required)

400-word maximum

Explain how this initiative or program has increased student achievement and provide data that reflects that(Required)

400-word maximum

Describe how the initiative or program achieves equitable access and outcomes(Required)

400-word maximum

Explain how the initiative or program reflects the priorities of the governing board and district(Required)

400-word maximum

Acknowledgement One(Required)

 By checking this box, I herby certify that the superintendent (or lead administrator) of the district has approved this submittal.

Acknowledgement Two(Required)

 By checking this box, winners understand they will be invited to record a 45-minute session highlighting the program or initiative.

Acknowledgement Three(Required)

By checking this box, you acknowledge that you will assist ASBA by providing photo or video images to be used in a brief video of the initiative or program. This will be shown at the ASBA-ASA Annual Conference, on ASBA social media and will be provided to the district.

Name of Superintendent (or lead administrator)(Required)

First Last