MAASE Beekman Award Nomination

Complete the nomination form below by JUNE 1st.  
(Note:  3 letters of support and resume will be requested in phase 2 of the award process.)

Beekman Award nominee qualities include that s/he:

* Is a Special Education administrator at the local, regional or state level.
* Has made significant contributions on behalf of Special Education.
* Has demonstrated quality service in the field of Special Education.
* Has exhibited integrity in his/her daily work and relationships.
* Has diverse involvement in both the community and educational arenas.
* Has demonstrated leadership beyond the scope of his/her position.
* Has made contributions to Special Education with statewide significance (e.g. research, committee/task force work, organization involvement, legislative influence).
* Has made significant contributions to MAASE.
* Has proven him or herself to be a visionary.
* Possesses personal attributes that make him/her an outstanding representative of the Beekman Award.
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Nominee's Name *
Nominee's Employer *
Is nominee a current member of MAASE? *
Required
Person submitting nomination *
Nominators cell phone *
Nominators office phone *
Nominators email *
Describe the Nominee's education *
Number of years Nominee has served as an administrator of special education *
Describe the Nominee's experience related to the Beekman Award qualities.(include innovations, contributions and impact in the special education field) *
Describe the Nominee's current leadership responsibilities as they relate to the Beekman Award qualities *
Describe any special honors, awards or recognition the Nominee has received *
In what organizations is the Nominee a member?  Does s/he serve on any committees or in a leadership role?  Describe. *
In what additional education or community activities is the Nominee involved?   *
Identify the qualities possessed by the candidate that distinguishes him/her as a worthy of this award. *
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