2016 Educators Hall of Fame Nomination Form

Northeast Regional Educators Hall of Fame

The Salem State University Northeast Regional Educators Hall of Fame is administered through the Salem State School of Education and Friends of Education Alumni Board. The selection of Hall of Fame honorees from nominees is the responsibility of the Hall of Fame committee composed of five faculty and staff individuals from the School of Education and five individuals from the Friends of Education Alumni Board.

Salem State University will host an annual ceremony recognizing the chosen inductees and nominees. This year's celebration will take place on Friday, November 4, 2016. A plaque of recognition is displayed in the Alumni House.

Along with honoring extraordinary educators, the Salem State University Northeast Regional Educators Hall of Fame program enhances the University’s presence in the Commonwealth as a flagship institution that values the work, dedication and commitment of those individuals who are education leaders. Additionally, the Hall of Fame provides avenues for outreach in communities and schools, as well as encourages interaction and participation among those in the education field.

Deadline for nominations is April 1, 2016

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2015 Inductees: (from left) Scott Morrison '94, '99G; Ellen Rintell; Eliaquin Gonell '09, 15G; Anthony Piernantozzi '97G

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* 1. Nominee's information

First Name

Last Name

Job Title

School/Organization

Business Address

City

State

Zip Code

Business Phone

Cell Phone

Business Email

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* 2. Individual making the nomination information

First Name

Last Name

Job Title

School/Organization

Business Address

City

State

Zip Code

Business Phone

Cell Phone

Business Email

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* 3. Nominee's Relationship to Salem State University

Salem State Graduate

Salem State Employee/Faculty Member

Works within the Northeast Region

Other (please specify)

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* 4. If Nominee is an alumnus/a of Salem State University, please list class year.

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* 5. Your relationship to Salem State University

Salem State Graduate

Salem State Employee/Faculty Member

Friend

Other (please specify)

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* 6. If you're an alumnus/a of Salem State University, please list your class year.

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* 7. Your relationship to the nominee is:

Current or former Supervisor

Current or former Colleague

Current or former Parent of a student

Current or former student

Other (please specify)

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* 8. Award Nomination Classification (choose one)

Dr. Edna Mauriello ’44 Lifetime Achievement Award
Criteria: 20+ years in the field of education; promotion of mission through work in education in any capacity. Demonstrated leadership and made significant contributions to their respective school district, college/university or organization of sustained work for an educational cause.

Rising Star Award
Criteria: 3-10 years as an educator; promotion of mission through work in education in any capacity. Demonstrated early evidence of significant contributions to respective school district, college/university or organization.

Salem State Alumni Award
Criteria: graduate of Salem State University (undergraduate or graduate degree); exemplar of their alma mater demonstrating the best practices of Salem State University.

Northeast Region Educator Award
Criteria: promotion of mission through work in education in any capacity within the Northeast Region; demonstrated leadership and made significant contributions to their respective school district, college/university or organization.

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* 9. Letter of Nomination: Please state your reason(s) below for nominating this individual with particular attention to how this individual's work promotes the mission of the School of Education at Salem State University. Please explain how this individual meets the criteria for the specific award selected.
Criteria

Each candidate for an award must:
Be engaged in and dedicated to the field of education;
Demonstrate the best practices within nominee’s field;
Demonstrate consistent, inspirational service within educational communities;
Demonstrate leadership and/or civic engagement;
Inspire collaboration and model professionalism;
Effectively communicate with all stakeholders.

No more than 1000 words. Please feel free to type in word and cut and paste into the nomination form.

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* 10. Please type your first and last name as an electronic signature.

Nominations will not be considered until reference letters are received. Please send reference letter(s) from supervisors, colleagues, parents and students along with any other pertinent information by email to alumni@salemstate.edu or by mail to:

Salem State University
Alumni Affairs Office
352 Lafayette Street
Salem, MA 01970

One letter of reference is required for the Rising Star category and two letters are required for all other categories.