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2014 BASA Fall Conference Awards Nomination Forms

2014 Official Nomination Form Exemplary Leadership Award

Presented by the Buckeye Association of School Administrators

CRITERIA: The BASA Exemplary Leadership Award will be presented to an active member in each BASA region who has demonstrated outstanding educational leadership in making significant contributions to educational administration in a school district, education service center or educational institution. The candidate is required to have a minimum of three years of continuous service as an administrator or college instructor and to have been a BASA member for a minimum of three years. PROCEDURE: A selection committee has been appointed by the regional director within each of the following BASA regions. Any individual may nominate him/her self or someone else for this award. This official nomination form for the Exemplary Leadership Award must be submitted to your regional director listed below by August 29, 2014. Please see the map on reverse if you are unsure of your region. The awards will be presented at the BASA Fall Conference.

Nominations will be accepted in the following BASA Regions Please submit your nominations to your Regional Director by August 29, 2014.

REGIONAL DIRECTORS

Region 1

Director:

Nate Johnson, Stryker Local Schools njohnson@strykerpanthers.org Kevin Haught, Arlington Local Schools haughtk@ag.noacsc.org

Region 2

Director:

Region 3

Director:

Cynthia Walker, Brooklyn City Schools

cynthia.walker@brooklyn.k12.oh.us

Region 4

Director:

Russell Bennett, Aurora City Schools rbennett@aurora-schools.org Tom Perkins, Northern Local Schools no_tperkins@seovec.org Rhonda Bohannon, Three Rivers Local Schools rbohannon@trlsd.org

Region 5

Director:

Region 6

Director:

BASA REGIONS

Exemplary Leadership Award Official Nomination Form

Deadline: August 29, 2014

Please type or print legibly Name: _______________________________________________________________________ BASA Member?  Yes  No Years of continuous service _____________ Position ____________________________________________________________________ Organization ________________________________________________________________ Address ____________________________________________________________________ City___________________________________State__________ Zip ___________________ Telephone______________________________Fax _________________________________ Dates ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ Other positions held during the past five years: Position Organization

I. Description of significant contributions/exemplary leadership:

Statement describing how you or the nominated candidate actually enhanced education through exemplary leadership:

Submitted by (please print name) ________________________________________ Signature ________________________________________ Title ________________________________________ Date ________________________________________

Please return to your Regional Director listed on page 1 by August 29, 2014

Buckeye Association of School Administrators 2014 John G. Hauck Scholarship Application

Section I

Date ________________________

Name_______________________________________________________________________

Address_____________________________________________________________________

Phone _________________________ Age ______________

Section II

Name of parent who is an active or retired BASA member ___________________________________

Parent's Address _________________________________________________________________

Parent's Phone ________________________________

Section III

Name of accredited college or university where applicant is currently enrolled ________________________

Date of anticipated graduation _______________________________

Major _________________________________________________

Section IV

List two current college of education professors or supervising teachers who are willing to recommend you for the scholarship award and who have supplied letters of recommendation.

Name ____________________________________ Position _______________________________

Name ____________________________________ Position _______________________________

Section V

On a separate sheet of paper, briefly describe why you believe you should receive the John G. Hauck Scholarship Award. Please type or print legibly.

Section VI

Applicant's Signature _____________________________________________________

The John G. Hauck Scholarship

A Tribute to the Education Profession

BASA Welcomes Applications and Contributions

2014 Awards

Purpose: The John G. Hauck Scholarship Award was established to honor BASA Executive Director Emeritus John Hauck and to provide support to a BASA member's dependent who is pursuing a career in education. Media coverage and national educational reports constantly emphasize that young people are not choosing education as a profession as they once did. The brightest and most talented are finding other vocations. This is happening at a time when their skills and talents are needed most. The John G. Hauck Scholarship Fund is an attempt to not only honor John and the education profession but also help students who have chosen education as a career. Qualifications: To be eligible, a student must be the dependent of an active or retired BASA member and enrolled in the college of education at an accredited college or university. Preference will be given to upcoming college juniors and seniors. The candidate's potential for success in the field of education will be a primary factor. A recipient can accept the scholarship one time only.

Procedures: Applicants are requested to provide recommendations and support documentation from college professors and/or supervising teachers.

The scholarship award will be given in an amount equal to the earnings of the fund (at least $1,000). The award will be paid directly to the recipient to be used to help defray the cost of pursuing a career in education.

Selection of the recipient will be made by the BASA Scholarship Committee. This committee consists of three members of the executive committee appointed by the BASA President.

The recipient will be awarded the scholarship money at a ceremony during the BASA Fall Conference. Deadline to submit the application is August 29, 2014 . Fax: 614-846-4081, email: hall@basa-ohio.org .

- OVER PLEASE - SCHOLARSHIP APPLICATION ON REVERSE SIDE OF THIS PAGE

Contributions: You may make a contribution to the John G. Hauck Scholarship Fund at any time by writing a check payable to BASA (with a notation that it is for the scholarship fund) and mailing it to: BASA at 8050 N. High St., Suite 150, Columbus, OH 43235-6486. Your support is needed to maintain the fund. Please help honor our profession, our association and John Hauck.

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2014 Warren Russell Leadership Award

The Warren Russell Leadership Award, established in 2003 to honor the memory of Warren Russell, Deputy Executive Director of OSBA and an educational leader in the state of Ohio, is awarded to the BASA member who has made a significant impact on the legislative and rule making process (lobbying, testifying, committee work, etc.) that impacts the statewide efforts of BASA. To nominate a colleague for this prestigious award, please fill in the following information regarding your nominee and mail/fax this form to BASA no later than August 29, 2014. No additional information is required on the nominee since his/her accomplishments and name will be easily recognized by all. The BASA Executive Committee will make the final selection from all nominees received and the award will be presented at the BASA Fall Conference. Nominee’s Name:__________________________________________ (please print or type) Nominee’s Position:________________________________________ School District:___________________________________________ Nominated by:______________________________ Buckeye Association of School Administrators 8050 North High Street, Suite 150 Columbus, OH 43235 Phone: 614-846-4080 Fax: 614-846-4081 Questions? Email hall@basa-ohio.org