EIFLE Nomination Form

*Nomination Category (select one):*

Adults’ Book
Adults’ Education Program
Children's’ Book
Children's’ Education Program
Educator
Instructional Game
Organization

Nominator Details

Name:*

Organization:*

Address:*

Email:*

Phone:*

Nomination Details

Sub-Category (Select all that apply):

Money Management
Debt Management
Credit
Risk Management
Investing & Retirement Planning
General

Sub-Category (Select all that apply):

General
Saving & Investing
Credit & Debt
Risk Management & Insurance
Planning & Money Management
Income & Careers
Financial Responsibility & Decision Making

Title:

Author First Name:

Author Last Name:

Company/Publisher:

Author's Address:

City:

State:

Zip:

Phone:

Fax:

Email:

ISBN:

Who holds the copyright? Copyright date:

Related website:

Please provide a brief synopsis of the submission:

Does the submission align with any national standards? If yes, which?

Has the submission won any awards? If yes, which?

Is this Book available in retail stores? If yes, what is the cost?

What is the cost of this program?

Where can this program be obtained?

Nominee First Name:

Nominee Last Name:

Title:

Employer:

Address:

Phone:

Email:

Related Website:

Please list any awards, citations or public recognitions which the Educator has received:

Please provide a list of outstanding accomplishments, contributions and examples of how the nominated Educator has demonstrated support for the advancement of financial literacy education within the communities (s)he serves:

What is innovative about the nominated Educator’s approach to financial literacy that makes him/her the best choice for the Excellence In Financial Literacy Education Award?:

How has the nominated Educator ensured his/her programs are accessible to and appropriate for target service populations?:

How has the nominated Educator evaluated his/her programs?:

Is the nominated Educator certified in financial literacy education? If yes, please list certification(s):

What are the nominated Educator’s criteria for selecting material?:

Do the nominated Educator’s materials align with any national standards? If yes, please list standards:

Is this Game Electronic or Tabletop?:

Game Title:

Copyright or Trademark Date:

Related Website:

Manufacturer/Publisher/Developer:

Contact First Name:

Contact Last Name:

Address:

Phone:

Email:

Please describe the financial literacy concepts learned by playing the Game:

Does the submission align with any national standards? If yes, which?:

Has the submitted Game won any awards? If yes, which?:

What age is the Game designed for?:

Where can this Game be obtained?:

What is the cost of the Game?:

Organization Name:

Contact First Name:

Contact Last Name:

Address:

Phone:

Email:

Is this a for-profit or non-profit organization?:

What is the mission of the nominated Organization?:

Please list any awards, citations or public recognitions which the Organization has received:

Please provide a list of outstanding accomplishments, contributions and examples of how the nominated Organization has demonstrated support for the advancement of financial literacy education within the communities it serves:

What is innovative about the nominated Organization’s approach to financial literacy that makes it the best choice for the Excellence In Financial Literacy Education Award?:

How has the nominated Organization ensured its programs are accessible to and appropriate for target service populations?:

How has the nominated Organization evaluated its programs?:

Does the nominated Organization have staff certified in financial education? If yes, please list certification(s):

What are the nominated Organization’s criteria for selecting material?:

Do the nominated Organization’s materials align with any national standards? If yes, please list standards:

All EIFLE Nominations require a $75 Processing Fee

Please pay online or mail a check to: Institute for Financial Literacy PO Box 1842 Portland, ME 04104

Form of Payment*