Howard B. Stroud Community Service Award Nomination

Howard B. Stroud Community Service Award Nomination

Part I: Overview and Cover Sheet

The Howard B. Stroud Community Service Award is presented each year to a Clarke County School District employee who puts the well-being of the school district and its students above the advancement of self.Read more about Mr. Stroud and past awardees on the Foundation for Excellence website.

Nominations:Nominations may be made by principals/supervisors, colleagues, students, parents, or community members. Nominators should work with the nominee to solicit letters of support and prepare and submit the packet by the deadline. There is no limit to the number of nominations made by any one school.

Qualifications: Eligible employees are those who:

• Are employed by a Clarke County school as a non-certificated employee on the first day of pre-planning of the academic year of the nomination
• Do not currently hold any other Foundation award; and
• Have never previously received the Howard B. Stroud Community Service Award

Term: This award is presented to onerecipient per year, at a level of $500.

Nomination Packets:The nominee (or nominator) should use this document, and must submit the original application packet plus5 copies (6 total) in the order stated below. Nomination packets not conforming to the explicit instructions or including unsolicited documentation will be disqualified. Packets will not be returned.

Organize nomination packets in the following order:

I.Cover Sheet (this page)

II.Nominee’sPersonal Data form (page 2 of this application document)

III.One letter of support from a current administrator/supervisor (see instructions later in this document)

IV.Two additional letters of support from past or present administrators/supervisors (other than the one in Part III), co-workers, students, parents, or community members

Due Date: Nominations are due the Friday after spring break by 4:30 PM. Mail or deliver the compiled sets to The Foundation for Excellence, c/o Clarke County School District Office of Public Relations and Communications, 440 Dearing Ext., P.O. Box 1708, Athens, Georgia 30603.

Name of Person Being Nominated (Nominee) for the Howard B. Stroud Community Service Award:

Nominee’s School or Office: Nominee’s Email:

Name of Nominator: Nominator’s Phone:

Nominator’s Email:

PART II: NOMINEE’S PERSONAL DATA

(To be completed by the Nominee and submitted on this form.)

Name of Nominee:

Nominee’s Current Position:

Nominee’s Email Address:

A. EDUCATION

List Certification Field(s), if appropriate:

B. EMPLOYMENT EXPERIENCE(Begin with the most recent. Add additional rows as needed.)

Within Clarke County School District:

Relevant Experience Other Than CCSD:

C. OTHER SCHOOL/COMMUNITY/LEADERSHIP ACTIVITIES OR AWARDS(Include awards or recognitions, school or district committees, community organizations, etc. Add additional rows as needed.)

Part III: Administrator/Supervisor Letter

This letter of support is to be written by a currentadministrator or supervisor, such as the school principal, assistant or associate principal, department chair, etc. The letter must not exceed two pages, must use 12-point type, and must be double spaced.

Name of author of administrative letter:

Position/Title:

Email Address:

The letter should be directed to the Foundation for Excellence Award Selection Committee, and should address the following. Attach the letter to the nomination packet in the correct location.

Please address how the nomineehas placed the well-being of the Clarke County School District above his/her own personal advancement. How has the nominee demonstrated excellence in serving the school district and community? What sets this nominee apart from others? Please give specific examples to support and explain.

PartIV: Two Additional Support Letters

Two additional letters (no more) of support are to be provided. These two letters should be attached to the nomination packet in the correct location. Each letter must not exceed two pages, must use 12-point type, and must be double spaced. These letters should come from any combination of present or past administrators/supervisors, co-workers, students, parents of students, or community members familiar with the nominee’s work. Each letter should address the following:

How doesMr./Ms./Dr. ___[the nominee] advance the overall well-being of the school district, students, and community?Please give as many details as you can (while staying within the limit of 2 pages).

Name of author of first additional letter:
Relationship to Nominee:

Email Address:

Name of author of second additional letter:

Relationship to Nominee:

Email Address:

p. 1