| Requirements | Comments | |
| Y N | Postmarked by deadline of __________________ (date) | |
| Y N | Evidence of CLTA membership ( this year and preceding year or just this year) | |
| Y N | Has received not received this grant within the previous four years | |
| Y N | Completed application form. | |
| Y N | Brief professional resume/CV, original plus three copies | |
| Y N | Three letters of recommendation, original plus three copies of each | |
| Y N | A recent photograph (one copy suitable for display) | |
| Y N | Evidence that the nominee is currently employed as a teacher of WLOE* | |
| Y N |
|
|
| A letter (original and three copies) written by the candidate describing the following: | ||
| Y N | Motivation for applying for this grant | |
| Y N | How the grant will help the applicant to improve his/her teaching skills | |
| Y N | Projected impact on the applicant's students and classroom activities | |
*WLOE: World languages other than English
Reviewer: If this checklist is complete (all requirements met), proceed to scoring rubric below.
Nominee's Name or Number ______________________________
| Description |
0 |
1 |
2 |
3 |
4 |
Points Awarded | Weight | Score | ||
| Motivation for applying for the grant | No explanation of candidate’s motivation for applying for the grant |
Limited or vague explanation of candidate’s motivation for applying for the grant, lacking detail |
Basic explanation of candidate’s motivation for applying for the grant, lacking detail | Clear explanation of candidate’s motivation for applying for the grant, which may lack specific detail | Clear, specific and detailed explanation of candidate’s motivation for applying for the grant | X |
|
= | ||
| How the grant will help the applicant to improve teaching skills | No explanation of how the grant will help the applicant to improve teaching skills | Limited or vague explanation of how the grant will help the applicant to improve teaching skills | Basic explanation of how the grant will help the applicant to improve teaching skills | Clear explanation of how the candidate anticipates improving teaching practice | Clear, specific and detailed explanation of how the candidate anticipates improving teaching practice | X |
8 |
= | ||
| Impact on applicant’s students and activities |
No explanation of impact on applicant’s students and activities |
Limited or vague explanation of impact on applicant’s students and activities | Basic explanation of impact on applicant’s students and activities | Clear explanation of impact on applicant’s students and activities | Clear, specific, detailed explanation of impact on applicant’s students and activities | X |
8 |
= | ||
| Letters of recommendation support candidate’s participation in this specific grant | No letters of recommendation – candidate not eligible | Generic statement of support for candidate with no detail | Generic statement of support for candidate which lacks significant detail relevant to this grant program | Current support for candidate’s motivation and anticipated outcome, which may lack specific detail | Current specific and detailed support for candidate’s motivation and anticipated outcome | X |
|
= | ||
| TOTAL | = | _____/96 | ||||||||
|
Also applying for a LangAbrod grant? YES NO (LangAbrod grants not available with Sydney Gorman Grant) |
Granted LangAbrod? YES NO | |||||||||