(Please attach a current vita)
Name ______________________________________________
Are you an ACEI Member? ________Yes ________ No
If you are not an ACEI member, what organization do you represent?___________
Address (please indicate preferred mailing address)
____(Home) ____________________________________________________________________
____(Work) ____________________________________________________________________
Phone (Home) _________________________ (Work) ___________________________
E-Mail _______________________________________
FAX _________________________________________
Present Position
______________________________________________________________________________
______________________________________________________________________________
Education Background
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Elementary Education Experience
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
NCATE or other Review Experience
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Reason(s) for volunteering to serve as a reviewer
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Other Professional Affiliations:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Professional References: Please provide three (3) letters of professional reference from persons who can
attest to your writing skills, ability to meet deadlines, and knowledge and experience in elementary education.
I understand the time and financial commitments involved in serving as a program reviewer, including the obligation to attend the annual training and guidelines review session conducted at the time of the
ACEI Annual Conference.
Signature_______________________________________
Date_____________________________
Note: Please return all materials to ACEI Headquarters.
If you represent another affiliate organization, you should send your application materials to the Executive Director or his/her designee to confirm membership, and then have it forwarded to ACEI. Remember to include 3 letters of reference.
ASSOCIATION FOR CHILDHOOD EDUCATION INTERNATIONAL
17904 Georgia Ave., Suite 215, Olney, MD 20832
(301) 570-2111 - (800) 423-3563 - FAX (301) 570-2212 - headquarters@acei.org
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This page is copyright 
2005 by the Association for Childhood Education International. Please send any comments to headquarters@acei.org.
Last updated June 2005