|
OSSTF District 11- Thames Valley |
2005-2006 Grade 10 Citizenship Award Sample 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
- The nominee is Grade 10 student who contributes to the quality of life in the school unit (not necessarily a leader).
- 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.
Nomination Form (For the internal use of the school committee ONLY.)
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.)
1. Contribution To School Life
 | 60th Anniversary work |
| dance club |
| school show (Anne of Green Gables) |
| recycling activist (cans, paper) in school |
| positive profile around school - "spreads sunshine and spirit |
| does more than her share for no special recognition |
| has been like this throughout grades 9 and 10 |
2. Concern And Consideration For Others
| delightful extrovert; interacts with all members of the class |
| empathetic; suggests solutions (alternatives to students and teachers) |
| very considerate and sensitive to others’ needs |
| willing contributor to lessons and group work |
| she is capable of leadership but does so through energetic participation rather than "bossing" and is quite often in the role of a happy worker |
3. Summary Comments
| accepts criticism in a positive manner, quickly implementing suggestions |
| has a "zest for life" |
| always among the first to volunteer assistance |
| a self-starter with great leadership potential |
| her smile is contagious |
4. Acknowledgments
| strives to reach full potential in core subjects |
| always well prepared in class and in clubs |
| responds to challenges of bonus questions and difficult analysis |
DATE ___________________ SIGNED ____________________________________
(Signature of nominator)