Florence Rotary Club Teacher of the Year

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1 The Florence Rotary Club will be presenting three (3) Boone County Teacher of the Year awards in the spring of We hope you will participate by submitting the nomination of a teacher who meets or exceeds our criteria. A monetary award from a corporate sponsor will be given to each of the three finalists to be given to the charity or school cause of their choice. Rotary International is an organization of service clubs known as Rotary Clubs, located all over the world. World-wide, there are more than 32,000 clubs with over 1.2 million members. The stated purpose of the organization is to bring together business and professional leaders to provide humanitarian service, encourage high ethical standards in all vocations, and help build goodwill and peace in the world. Rotary s best known motto is SERVICE ABOVE SELF. This motto defines the object of Rotarians to encourage and foster the ideal of service as a basis of a worthy enterprise. Considering our motto, the Florence Rotary Club will honor 3 teachers out of all Boone County schools for their demonstration of Service Above Self throughout his or her teaching career. Please carefully review the qualifications and criteria before considering your nominee. Application information available from January 2, 2014 through February 21, 2014 at: The awards will be presented Monday, March 31, 2014 Inquiries should be directed to Gary Wilmhoff at Please send completed application and all supporting documentation in entirety to: Thank you for your support. Pam Goetting Heritage Bank 1818 Florence Pike P. O. Box 357 Burlington, KY The Florence Rotary Club

2 Criteria for Nomination A candidate for Rotary Teacher of the Year should be an exceptionally dedicated, knowledgeable, and skilled teacher in any Boone County school, pre-kindergarten through grade twelve, who is planning to continue in an active teaching status. (Supervisory and administrative responsibilities should be of secondary consideration). To be eligible, your nominee must: Be currently employed as a teacher in a public or private school in Boone County Inspire students to learn Have the respect and admiration of students, parents, and colleagues Play an active and useful role in the community, as well as, in the school Be poised, articulate, and possesses the energy to withstand a taxing schedule Exemplify the Service above Self standard in his or her professional and community environment If the teacher has been previously nominated and was not the award winner they are still eligible to receive the award

3 I. General Information/Signatures Nominee Name Home Address ( ) Electronic Mail Address (es) School Name School Address ( ) Number of Students in Nominee's: District Building Major Subject Area (if any) Grade Level Total Years of Teaching Experience Years in Present Position I hereby give my permission that any or all of the attached materials may be shared with persons interested in promoting the Florence Rotary Teacher of the Year Program. I also acknowledge that if selected as the Florence Rotary Teacher of the Year, I will be released from classroom responsibilities during the year of my recognition in order to fulfill the obligations inherent in the honor. Signature of Candidate Date

4 SCHOOL/BUILDING PRINCIPAL Name Title School Name School Address ( ) I acknowledge that the nominee submits this application with my approval. If the nominee is selected as the Florence Rotary Teacher of the Year, he or she will be released from classroom responsibilities during the year of recognition. Signature of School Principal Date SCHOOL DISTRICT SUPERINTENDENT Name Title District Name/Address ( ) I acknowledge that the nominee submits this application with my approval. If the nominee is selected as the Florence Rotary Teacher of the Year he or she will be released from classroom responsibilities during the year of recognition. Signature of District Superintendent Date NOMINATOR Name Title Address ( ) I hereby nominate as the Florence Rotary Teacher of the Year. Nominator Profile (check one): Student Parent Colleague Administrator Signature of Nominator Date

5 Exemplary History provide a story that typifies the difference the teacher has made in the lives of students. You may submit up to 3 stories.

6 Letters of support or testimonials you are encouraged to provide letters from current/former students, parents, colleagues, or community leaders who have been directly affected by the nominee. All supporting documentation are to be submitted on standard size paper (8 ½ x 11).

7 Please include a letter of recommendation detailing how you, the nominator, feel this candidate exemplifies the attached criteria. Please send completed application and all supporting documentation in entirety to: Pam Goetting Heritage Bank 1818 Florence Pike

8 P.O. Box 357 Burlington, KY 41005

9 This form is for internal Rotary use only Teacher Information Form Educational History and Professional Development Activities A. Beginning with most recent, list colleges and universities attended including postgraduate studies. Indicate degrees earned and dates of attendance. B. Beginning with most recent, list teaching employment history indicating time period, grade level and subject area.