Webform

Community Collaboration Award Nomination Form

Thank you for your interest in the 2012 Blackboard Catalyst Award program! You may nominate yourself, a peer or a team. Nominations may be made by Blackboard clients and Blackboard staff members. The deadline for submitting nomination is February 29, 2012. Winners will be notified in early May 2012.

If you have any questions, please contact community@blackboard.com.

This award honors members of the Blackboard user community who go above and beyond the call of duty to support their fellow educators at institutions outside their own institution. This award recognizes those who share advice, insight, and best practices with others as they approach key challenges and opportunities in eLearning. Examples that demonstrate this achievement include:

Contributing and sharing effective practices, tutorials, presentations to the community
Learning and growing an active and outstanding Blackboard User Group or special interest group that spans multiple institutions
Encouraging collaboration and engaging community members on relevant and meaningful topics.

Measurements:

Has this community collaboration effort included participants from institutions other than your own? How many other institutions have participated in this effort?
Are there tools, presentations or other templates that your community has shared with other similar institutions? Where/how do you share them?

	Not Evident	Promising	Accomplished	Exemplary
Does the community collaboration effort include participants from other institutions? How diverse is your collaboration?	The nominated activity includes participation from only one institution. Participants generally have similar roles, responsibilities and experience.	The nominated activity includes participation from multiple institutions. More than 5 institutions are involved in collaboration activities.	The nominated activity includes participation from multiple institutions. More than 10 institutions are involved in collaboration activities. Participants generally have similar roles, responsibilities and experience.	The nominated activity includes participation from multiple institutions. More than 15 institutions are involved in collaboration activities. Participants have different roles and responsibilities and this diversity is seen as a strength.
Are there tools, presentations, templates, and other artifacts that your community has shared? Where/how do you share them?	The nominated activity generates few tools and resources. And it does not have a consistent mechanism to share these tools with others.	The nominated activity generates some tools and resources that it shares amongst the community members and makes them available to its membership via a website or meeting.	The nominated activity generates a variety of tools and resources that it shares amongst the community members and makes them available to its membership via a website or meeting.	The nominated activity generates a variety of tools and resources that it shares amongst the community members and makes them available to the general Blackboard community via a public website or conference.

Using the rubric found above, please evaluate your nomination based on the following measurements:

In your words, what was the nature of the accomplishment?

(insert here):

Why was this achievement significant? What impact did it make?

(insert here):

Were there any quantitative metrics associated with this project / program / person? If so, how was it measured and what does the data prove?

(insert here):

Measurement #1:

Has this community collaboration effort included participants from institutions other than your own? How many other institutions have participated in this effort?

(select one): *

Measurement #2:

Are there tools, presentations or other templates that your community has shared with other similar institutions? Where/how do you share them?

(select one): *

Is there anything else the Review Committee should know to support this nomination?

(insert here):

Do you have any supporting documentation to add?

You need to install flash to upload files (maximum size 100MB)

Do you have a link to share?

Link:

By submitting this nomination you are permitting Blackboard to share the accomplishment information with other individuals in the community. It will be noted that this information came from the person making the nomination.

(please select): *

I understand the above statement

Nominee Contact Information

Please enter the contact information for the person of team you are nominating.

(select one): *

If this nomination is intended for a team, please indicate the team's name and use the contact information area below for the team's leader / point of contacts.

Team Name:

Salutation: *

Nominee's First Name *

Nominee's Last Name *

Institution/Organization:

Professional Title *

Street Address *

Address Line 2

Address Line 3:

City: *

State: *

Zip/Postal Code *

Phone Number: *

Country: *

E-mail Address *

Does the person / team know they are being nominated for this award?

(select one): *

Yes, the nominee(s) knows
No, the nominee(s) does not know

Submitter's Contact Information

Please enter your contact information in case Blackboard has any questions about your submission. If you are nominating yourself, please enter "same as above: in each field.

Salutation: *

Submitter's First Name *

Submitter's Last Name: *

Professional Title: *

Phone Number: *

E-mail Address: *