2005-2006 Grade 10 Citizenship Award Nomination Form

A. SELECTION

A student shall be chosen in each regular secondary school from students presently completing Grade 10, by a school committee consisting of the Branch President (or his/her designate), the Branch Awards Committee Rep (if the Branch has one), and at least one other teacher. The committee may also have student rep(s) if desired.

B. CRITERIA

1. The nominee is Grade 10 student who contributes to the quality of life in the school unit (not necessarily a leader).
2. The nominee shows concern and consideration for others without regard for personal recognition.

Fill in and submit this form to the Branch President or Awards Rep at your school.

Name of Nominee:_________________________________________________________

Name of Nominator:________________________________________________________

Please fill in point form information in the categories below to support your nomination of this student for this award. (Note: If this student is chosen as the award recipient, this information will be used to develop a script that will be read when the award is presented.)

DATE ___________________ SIGNED ____________________________________

                                                                  (Signature of nominator)