SERVICE ABOVE SELF: EDUCATIONAL EXCELLENCE (SASEE)
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Home
Vision
Nominations
Primary Nomination
Supporting Nomination
Nomination Form Questions
Awards Event
Contribute
Become a Friend of SASEE
Become A Sponsor
2022 Sponsor Recognition
2021 Sponsor Recognition
2020 Sponsor Recognition
2019 Sponsor Recognition
Team
SASEE Team
Lake Oswego Rotary Club
Lake Oswego Rotary Club Facebook Page
Contact
News/Past Winners
Latest News
2021 Video Award Event
SASEE 2021 Award Winners
SASEE 2020 Award Winners
SASEE 2019 Award Winners
SASEE 2018 Award Winners
SASEE 2017 Award Winners
Search for:
Search Button
Educator Nomination Form
Home
Educator Nomination Form
Educator Primary Nomination
Step
1
of
5
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Educator Information
(* Required)
0%
Educator's First and Last Name
*
First
Last
Educator's Phone Number
*
Educator's Address
Street Address
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Educator's Email
*
Name of Project/Activity to which criteria will apply
*
School Affiliation (can be private or public within Lake Oswego)
Is a Second Educator Being Nominated for the Same Project/Activity?
No
Yes
Second Educator's First and Last Name
*
First
Last
Second Educator's Phone Number
*
Second Educator's Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Second Educator's Email
*
Position
*
Length of Time in Position
*
Brief description of Educator's project/activity/service that demonstrates Service above Self. The project, service, activity should occur above and beyond the person’s job description
*
Length of time Educator has been involved with project/activity/service
Is this a new or on-going project/activity/service?
New
Ongoing
Start date project/activity/service (estimate if needed)
Number of People Benefited (estimate if needed)
How did you become familiar with this person's project/activity/service? (What is your connection to the Educator?)
Describe how the five "Service Above Self" criteria apply to the Educator's project, activity, or service.
Respond to all five evaluation criteria if possible. Each criterion contributes to the nominee’s overall score and ranking by the SASEE judges. The questions listed below each criterion are meant to give you ideas to consider in your response. Please do not feel obliged to provide an answer to each question. However, it is helpful if you can
provide concrete examples
in your responses.
1. Shows initiative and demonstrates selfless conduct toward others
Suggested details to consider:
• How did the Educator initiate the project/activity/service or show personal initiative in performing it?
• How much time does the Educator invest in the project/activity/service?
• Does the project/activity/service meet a school need? How?
• Does the project/activity/service meet a community need? How?
• How is the Educator an inspirational leader who engenders support of other involved stakeholders?
2. Inspires others to improve, grow and/or attain educational excellence
Suggested details to consider:
• How does the Educator create a positive learning environment that impacts others?
• How does the project/activity/service involve analysis, evaluation, problem solving and decision making?
• How does the project/activity/service demonstrate and engender high educational ideals?
• How did students/beneficiaries learn new skills through their access to the project/activity/service?
3. Builds a strong sense of confidence, competence and/or community awareness in others
Suggested details to consider:
• How did the project/activity/service encourage mutual trust and empowerment?
• How was the Educator effective in communication, organization, creativity?
• How did the Educator motivate citizenship in others?
4. Generates measurable impacts that leave a positive legacy
Suggested details to consider:
• Has the project/activity/service been a measurable success (if possible, provide metrics to illustrate numbers)?
• How many people were involved in participating in or completing the project/activity/service?
• How will it be measured in the future?
• How did the Educator’s project/activity/service result in a sustainable model for others to follow?
5. Steady, long-standing, and active participation in community and school related activities
Suggested details to consider:
• What community and school-related activities is the Educator involved in?
• What is the Educator’s role in these activities?
• If the Educator has a significant or leadership role in these activities, please describe that role/ involvement.
What else should we know about your Educator
Nominator Name
*
First
Last
Nominator Address
Street Address
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Nominator Email
*
Nominator Phone Number
*
At least one supporting nomination is needed for each Educator. Primary and supporting nominations are essential to the evaluation rubric used by SASEE judges in scoring and ranking each SASEE nominee. Please contact one or two other individuals familiar with your Nominee and the project/activity / service and establish assurance that they are willing and available to complete the Supporting Nomination Form. This form is available at
www.rotarysasee.org/supporting-nomination/
.
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 able to provide a supporting nomination, include a name and email for each person.
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