Student Life Award Nomination - St. Norbert College

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Mission and Student Affairs Division

The Norbertine Leadership and Service Awards

Exemplary Leadership Award Nomination

Nomination Deadline is Friday, February 8, 2013

The Division of Mission and Student Affairs' Norbertine Leadership and Service awards are meant to recognize outstanding student contributions to meaningful change in campus, local, and even national or international communities. The Exemplary Leadership Award recognizes exceptional student performance in one or more of the division's competencies, especially those related to impacting or changing the community and world.

Please use the rubric below to describe the nominee's contributions over the last 12 months. Examples listed for questions 5 and 6, and in the optional letter of recommendation, may be used during the awards program on April 27, 2013 as a means of sharing student successes. This nomination form should only take approximately 10 minutes to complete.

Additional award information:

The Exemplary Leadership Award is based on involvement from January-December 2012 (for first year students, involvement is based on current academic year only).
Recipients of this award must demonstrate high involvement in campus and community service, awareness of and action in congruence with personal values, and a commitment to making a difference.
Please be as specific and detailed as possible when completing the nomination. Nominations without supporting evidence in questions 5 and 6 will not be considered.
If you have any questions, please contact the Student Development Office, (920) 403-4023.
Nominations are due by the end of the day Friday, February 8th.

Student Nominee:

Class Standing:

Nominator Name:

Nominator Status:

Please rate the nominee in each of the following Mission & Student Affairs Competencies below.

Question 1: Human Differences
How well does the student understand and appreciate human differences?

	Exemplary Student demonstrates cultural understanding and acceptance by challenging stereotypes and takes action toward inclusion.
	Competent Student indicates appreciation: expresses understanding of own bias, demonstrates sensitivity and respect through actions; challenges stereotypes.
	Developing Student cites importance of human dignity, but does not express understanding of their own bias; no actions are identified.
	Rudimentary Student never mentions own bias; gives no indication of acceptance or appreciation of differences.
	N/A No opportunity to observe.

Question 2: Relationships
How well has the student developed open, honest and meaningful relationships based on mutual respect?

	Exemplary Student demonstrates at least 3 skills related to relationship building: takes responsibility for own actions, manages conflicts and disrespectful behavior, broadens perspectives and identifies changes to be made to improve or maintain relationships.
	Competent Student demonstrates at least 2 skills related to relationship building: takes responsibility for own actions, manages conflicts and disrespectful behavior, broadens perspectives and references lasting relationships.
	Developing In general, student recognizes the importance of a relationship; provides no specifics of how to build a relationship.
	Rudimentary Student has no ability to understand another’s perspective, may blame others for their difficulties, conflicts remain unresolved.
	N/A No opportunity to observe.

Question 3: Moral Convictions
How well has the student identified and worked to strengthen their own moral convictions?

	Exemplary Student’s actions are routinely ethical and extend to all aspects of life. would adhere to ethical principles regardless of the potential personal cost.
	Competent Student demonstrates ethical principles through their actions in most situations; recognizes the impact of personal choices; makes adjustments when actions are potentially unethical.
	Developing Student expresses general ethical concepts. They are aware that their actions may impact others, but make no correlation between their actions and ethics.
	Rudimentary Student demonstrates minimal ethical understanding and identifies no correlation between personal choices and effects on others.
	N/A No opportunity to observe.

Question 4: Engaged Citizenship
To what degree has the student been an engaged citizen in the St. Norbert, local, or world communities?

	Exemplary Student is involved in local, state, national or international events and shares how their involvement effected change.
	Competent Student’s actions support community standards and assist with identified needs.
	Developing Student talks about activities they would get involved in at a some point in time.
	Rudimentary Student demonstrates no community involvement or responsibilities.
	N/A No opportunity to observe.

Question 5: Student Character
In 250 words or less, please tell us what makes you believe this student is worthy of a Student Life Award.

Question 6 Student Accomplishments
Please list, in bullet points, this student’s accomplishments in the last 12 months that meaningfully changed their community or world.

OPTIONAL:
You have the option to upload a letter of recommendation for the nominee. Click the Browse button below to select your document to upload.

The nominee will be notified of your nomination. Please click here if you do NOT want to be identified as the nominator. (You will still be entered into the random drawing for gift cards for every nomination you submit!)

Thank you for the taking the time to recognize outstanding St. Norbert College students!

Norbertine Leadership and Service Awards

Phone: (920) 403-4023
Fax: (920) 403-4092
E-mail: leaders@snc.edu

St. Norbert College • 100 Grant Street • De Pere, WI 54115-2099 • 920-337-3181