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EXL AWARD

NOMINEE’S

APPLICATION PACKET

EXL AWARD

A Program to Recognize Excellence among Members of the Superintendency

The EXL Award Program is based on three premises:

It is important to acknowledge the dedication and enthusiasm of administrators who guide children’s educational experiences. Recognition is a powerful instrument for building pride in accomplishment and continued determination to pursue excellence.

System leaders who establish the character of a particular school system’s programs through the important work with school boards, school leaders, teachers and caring parents help to determine the scope and quality of children’s educational experiences

Children’s attitudes toward learning and their perceptions of themselves as lifelong learners are established in their school years. Effective leadership, mentoring and modeling determine whether the school jurisdiction effectively creates this environment.

TO BE COMPLETED BY NOMINEE’S EMPLOYER

NOMINEE’S CERTIFICATION FORM

The purpose of this form is to advise the system administrator’s employer that he/she has been nominated to be an E​ XL ​w inner. It also indicates that the employer understands the following obligations and responsibilities inherent in acceptance of the award.

The provincial /territorial recipients will be expected to travel to and from the site of the CASSA Annual Conference to participate in the national recognition ceremony

The Canadian Association of School System Administrators will reimburse three nights’ lodging for the national recipient. The national recipient will receive a life membership in CASSA.

The school district, the nominee, or other provincial or local sources assume costs for travel and meals.

The Canadian Association of School System Administrators will reimburse the national recipient his/her registration fee for the CASSA annual conference for the year in which the award was received.

This is to certify that I acknowledge and endorse the nomination of:

for the EXL Award representing:	(Nominee’s Name)
Employer’s Name and Title (type or print)
Signature	Date
School District/Organization
Mailing Address
City/Town	Province	Postal Code

Area Code and Phone Number	Employer​’​s E-mail address

EXL AWARD NOMINATION FORM

NAME OF NOMINEE:​

CURRENT ADDRESS:

PRESENT POSITION:

List leadership positions in educational administration. (Maximum 3)

List significant accomplishments of nominee.

Indicate honours that nominee has received (local, provincial / territorial, national).

What contribution has nominee made to education or educational administration that has had a provincial / territorial or national impact?

List any published writing or presentations (workshops, seminars, conventions) provincially or territorially or nationally.

Indicate offices held in provincial/territorial education organization. (Maximum of 3)

Office:	Organization:

Office:	Organization:

Office: Organization:

Indicate offices held in national education organizations. (Maximum of 3)

Office:	Organization:

Office:	Organization:

Office:	Organization:

Indicate other professional or personal responsibilities of significance that were assumed by nominee. (Maximum of 3)

Some persons may be nominated with qualifications for which this instrument is inappropriate or insufficient to give a full sense of the nominee’s contributions to education. As a result, please attach a statement of no more than two pages or less which cite the person’s achievements justifying nomination for the EXL Award. (attached)

The nominee has been a member of CASSA for years

Give dates of membership, if known:

Nomination Submitted by