Please read the nomination criteria below to complete and submit your nomination for the 2019 SASEE Awards.

Nominations must be completed by January 10, 2019

Nine-year old Melanie Gabriel-Hastings responding to her $500 Student SASEE Award

Photo by Brian Geraths at http://www.photomediaproductions.com

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The ideal SASEE nominee demonstrates a commitment to excellence in education through projects or activities that emphasize Service Above Self, are above and beyond what is normally required and inspire us to be better people.

Nominee Eligibility

1) Service Above Self projects and activities for which individuals are nominated must be affiliated with public or private schools or university within City of Lake Oswego boundaries.

2) Citizen, Educator & Support Staff Nominees may live outside of Lake Oswego boundaries.

3) Student Nominees may live outside of Lake Oswego boundaries, but must attend school within Lake Oswego boundaries

4) Pre-school programs and home-school programs are not currently eligible for SASEE awards.

5) Previous nominees are eligible. Previous SASEE Award recipients are not eligible.

The Evaluation Process

A team of judges reads through the nomination and supporting nominations for each nominee. A scoring matrix is used by each judge. Each category is considered separately.

Nominees are initially ranked by score, then discussed until judges reach a consensus.

SASEE Award Categories

1) Teacher/Administrator Award - $1,000 applied toward their school or service activity

2) Support Staff Award - $1,000 applied toward their school or service activity

3) Student Award - $500 applied toward their school or service activity

4) Individual Community Citizen/Volunteer Award, supporting education. These recipients are recognized by a $2,500 student scholarship given in their name

Evaluation Criteria

The Nominee, through his or her project or activity, should demonstrate “Service Above Self”

in one or more of the following areas:

1) Shows initiative, yet demonstrates selfless conduct toward others

2) Inspires others to reach a high level of educational excellence and development

3) Builds a strong sense of confidence, competence and citizenship in others

4) Creates positive, results-driven impacts that leave a positive legacy

5) Participates at a high level in extracurricular and school -related activities

PART 1: I am nominating the following individual for a potential 2019 SASEE Award:

Primary Nomination Form

Select the Category for Your Nomination: *

Educator (Teacher or Administrator, teaches in Lake Oswego schools - $1,000 award to school or school-related project)

Support Staff (works in Lake Oswego schools - $1,000 award to school or school-related project)

Student (attends Lake Oswego schools - $500 award to school or school-related project)

Citizen (not a student or teacher in Lake Oswego schools - $2,500 student scholarship awarded in Citizen's name)

Name of Nominee's Project/Activity to which criteria will apply: *

Nominee Name (Required) *

Nominee Name (Required)

First Name

Last Name

Position *

Length of time In position/or year in school *

Length of time with Nominee has been involved with project/activity

Nominee's Phone # (Required) *

Nominee's Address

Nominee's Email (Required) *

Brief Description of how the Project or Activity works *

School Affiliation (can be private or public within Lake Oswego)

Is this a new or ongoing project/activity?

Project/activity start date (estimate if needed)

Will this project or activity continue into the future?

Number of people benefited (estimate if needed)

How are you familiar with this person's service to others in support of education? (What is your connection to the Nominee?)

Which of the following "Service Above Self" criteria below apply to the Nominee's project or activity?

Helpful hints for completing this part of the nomination form: - Read through all of the criteria and questions before starting. - Respond to all of the criteria if possible. - Use different answers and examples for each criterion. - Provide a concrete example for each criterion you address. - Evaluation points are given for each criterion. - Secure a supporting nomination for your nominee (see Part 2 of this form)

1) Shows initiative, yet demonstrates selfless conduct toward others (Give examples where you can)

a) How did Nominee initiate the project/activity or show personal initiative in performing it? b) How much time did Nominee invest in the project/activity? c) Does the project/activity meet a school need? How? d) Does the project/activity meet a community need? How? e) How is the Nominee an inspirational leader who engenders support of other involved stakeholders?

2) Inspires others to reach a high level of educational excellence (Give examples where you can)

a) Does the Nominee create a positive learning environment that impacts others? b) How does the project/activity involve critical thinking? c) How does the project/activity demonstrate and engender high educational ideals? d) Did project participants learn new skills through their involvement with the project?

3) Builds a strong sense of confidence, competence and citizenship in others (Give examples where you can)

a) How did the project/activity encourage mutual trust and empowerment? b) How was the Nominee effective in communication, organization, creativity? c) How did the Nominee motivate citizenship in others? d) How many people were involved in participating in or completing the project/activity?

4) Creates positive, results-driven impact that could continue beyond the Nominee’s involvement (Give examples where you can)

a) Has the project/activity been a measurable success (if possible, provide numbers)? b) How will it be measured in the future? c) How did nominee’s project/activity result in a sustainable model for others to follow?

5) Participates at a high level in other extracurricular & school -related activities (Give examples where you can)

a) In which extracurricular and school-related activities is the Nominee most involved? How? b) In which does the Nominee have a significant or leadership role? How? c) In what other community activities outside of the classroom does the nominee participate?

Is there anything you would like to add, not addressed in your answers above?

Nominator name and contact information (email address required) *

Nominator name and contact information (email address required)

First Name

Last Name

Your Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Your Phone (Required) *

Your Phone (Required)

(###)

###

####

Your Email (Required) *

PART 2: Securing a Supporting Nomination

● At least one Supporting Nomination is necessary for each Nominee. Please contact one or two other individuals who are familiar with your Nominee and their project/activity and request that they also complete the Supporting SASEE Nomination Form available on the Lake Oswego Rotary Club website: www.rotarysasee.org ● Completed primary & supporting nomination forms are due by 1/10/19

Who will you be asking for a supporting nomination of your nominee?

Include the name and email of at least one person. If you have more than one person to provide a supporting nomination, include a name and email for each person.

The Lake Oswego Rotary Club thanks you for taking the time to recognize an individual who demonstrates "Service Above Self” in support of education in our community. All the nominees will be carefully considered by a select panel of judges who will identify the finalists and ultimately select those to whom awards will be given. We are hopeful that you and others will be able to join us at the SASEE Awards Banquet scheduled for February 27, 2019, at the Tualatin Country Club, to honor and celebrate the SASEE finalists and award