2018 Riverside CountySchool Counselor of the Year
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Nominee Information
Name: Mr. Ms. Mrs. Dr.Position:
Grade Levels Served:
Total Years as School Counselor (minimum of three years):
Total Years as School Counselor at Current Site:
Total Years in Education:
Home Address (street, city, and zip):
Home Phone: / Cell Phone:
Home E-mail: / Work E-mail:
Site Information
District: /Site: / Site Phone:School Enrollment: /Grades:
Site Address (street, city, and zip):
Type of School: Title IMagnet/Academy ASCA Ramp Other
Nominee Permission
I give permission for the Riverside County Office of Education to use any of the following materials in the selection and promotion of the Riverside County Educators of the Year Program. I also give permission for a site visit and videotaping if selected as the 2018 Riverside County School Counselor of the Year.
Signature of Nominee: ______
District Certification
Name of Superintendent:
Signature of Superintendent: ______
Deadline and Mailing Instructions
Return the completed application and two letters of recommendation by
4:00 p.m., Friday, January 12, 2018 to:
Ana Farfan, Chief of Staff
℅ Michelle Cooper
Riverside County Office of Education
P.O. Box 868
Riverside, CA 92502-0868
Contact: (951) 826-6675 / / Fax (951) 826-6199
Educational History and Professional Activities
Must complete information in the space provided. Limit to one page total.
No other materials should be included.
Education and Certifications:Professional Positions Held:
Memberships, Affiliations, and Offices Held in Professional Associations:
Leadership Experiences:
Presentations and Publications:
Awards and Recognitions:
Community Involvement:
Other:
Essays
Limit to one page per question, 12 pt., single-spaced.
1.How have you advocated for the counseling profession throughout your career? How do your actions reflect your personal beliefs about counseling?2. Name two or three of your personal counseling goals for the year. How are you addressing these goals and using data to measure their success?
3. Give an example of a particularly effective collaborative effort you have led to bring about a needed change in academic, personal/social, or career support for students. This can be in partnership with administrators, faculty, staff, parents, and/or community.
4. At the end of your career, what do you want to have accomplished as a counselor?
Letters of Recommendation
Submit two letters only.
Nominees must submit two letters of recommendation from individuals of their choosing.
No other materials should be included.