SACSAA Award Nomination Form

2014-2015 SACSAA Awards
Each year, KECSAC and the State Agency Children School Administrators Association (SACSAA) award
exemplary educators, support personnel, and community members. These honors are designed to highlight the
dedication and skill that teachers, administrators and support staff in KECSAC programs are bringing to the
education of students at-risk. We would also like to recognize a community member or organization that has
shown outstanding support to state agency children and programs. By nominating a person or organization in
any of these categories, you help show appreciation for those who are doing the difficult and often thankless
work of improving the lives of youth.
In addition, the KECSAC Outstanding Student of the Year Award will be given to a state agency child who has
demonstrated exemplary efforts in overcoming personal and educational obstacles to attain educational goals.
The award will be presented to a high school senior and will be accompanied by a scholarship to be used during
the following year for post secondary or vocational education.
The awards will be presented at the 14th Annual Alternative Strategies for Educating Students At-Risk Conference
on July 29 - 30, 2015.
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Nominations for SACSAA Awards must be submitted to SACSAA President Sue Buley by May 31, 2015.
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Nominations for Outstanding Student should be submitted to Kaye Parker, KECSAC Associate
Director, by April 3, 2015. See www.kecsac.eku.edu for a complete nomination packet.
Outstanding Support Staff of State Agency Children
Background: This award is intended to honor an outstanding support staff of state agency children in Kentucky.
Candidate: The nominee must be currently directly involved with state agency children. Support staff may include
but are not limited to: instructional assistant, youth worker, lunchroom worker, custodian, secretary, administrative
assistant, any member of the treatment team, or any individual who makes a difference in the life of a state
agency child.
Outstanding Teacher of State Agency Children
Background: This award is intended to honor an outstanding teacher of state agency children in Kentucky.
Candidate: The nominee must be currently involved in direct teaching of state agency children. The nominee
should have demonstrated exemplary performance over a period of time as a teacher, displaying such qualities
as: innovation, imagination, creativity, ability to inspire as indicated by clearly recognized achievements perceived
by members of the profession and others knowledgeable of the candidate.
Outstanding Administrator of State Agency Children
Background: This award is intended to honor an outstanding administrator of state agency children. The award
is for distinguished leadership and support for state agency children in Kentucky.
Candidate: The nominee must have provided outstanding leadership and developed innovative educational
programming for state agency children.
Outstanding Community Member/Organization
Background: This award is intended to honor an outstanding community member or organization which has
shown support for state agency children in Kentucky.
Candidate: The nominee must have provided outstanding support in some manner for state agency children.
Nominees could include civic, religious or corporate organizations or individual community members.
SACSAA Award Nomination Form
Deadline: Nominations must be postmarked by May 31, 2015.
Select the award the nomination is for: _____
Outstanding Teacher
_____ Outstanding Support Staff
_____ Outstanding Administrator
_____ Outstanding Community Member
Nominee Name: ______________________________ Program:______________________________
Address: _________________________________________________________________________
Telephone Number: ___________________________ Email _______________________________
Person Submitting Nomination: _______________________________________________________
Address: _________________________________________________________________________
Telephone Number: ___________________________ Email ________________________________
KECSAC may contact the supervisor of the person being nominated in order to verify that there are
no adverse circumstances that would preclude the consideration of that nominee.
Name of Nominee’s Supervisor:_______________________________________________________
Telephone Number: ________________________(Work) Email: _____________________________
Information Needed to Complete Nomination:
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All information requested on the above nomination form.
Description of the outstanding professional contributions of the nominee.
Vitae or work experience of nominee.
Letter(s) of recommendation. A strong application may include recommendations from
supervisors, peers, treatment staff, students, parents or community representatives. Submit a maximum of three recommendations. Send nominations to:
Ms. Sue Buley
Adair Youth Development Center
401 Appleby Drive
Columbia, KY 42728
email: [email protected]
If you have any questions regarding this matter, please contact Sue Buley at (270) 384-0822 or the
KECSAC office at (859) 622-6552.