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Service-Learning Recognition Award Nomination Form

*Fields are required.

*Please choose one of the following:
Outstanding Student Community Service in a Service-Learning Course: 14 hours or less required
 
Outstanding Student Community Service in a Service-Learning Course: 14 hours or less required
Presented to the student who provided exceptional community service through a service-learning course this semester. Describe the student's community service experience, and contribution to or impact on the agency, clients served, or broad community. Category 1: 14 hours or less required for course
Outstanding Student Community Service in a Service-Learning Course: 15 hours or more required
 
Outstanding Student Community Service in a Service-Learning Course: 15 hours or more required
Presented to the student who provided exceptional community service through a service-learning course this semester. Describe the student's community service experience, and contribution to or impact on the agency, clients served, or broad community. Category 2: 15 hours or more required for course
Outstanding Service-Learning Course: 14 hours or less required
 
Outstanding Service-Learning Course: 14 hours or less required
Presented to the class that provided exceptional community service through a service-learning course this semester. Describe the class community service experience and the contribution to or impact on the community. Category 1: 14 hours or less required for course
Outstanding Service-Learning Course: 15 hours or more required
 
Outstanding Service-Learning Course: 15 hours or more required
Presented to the class that provided exceptional community service through a service-learning course this semester. Describe the class community service experience and the contribution to or impact on the community. Category 2: 15 hours or more required for course
Outstanding Service-Learning and Academic Learning Connection
 
Outstanding Service-Learning and Academic Learning Connection
Presented to the student who demonstrated exceptional academic achievement through connecting their service-learning experience to course curriculum. Describe how the student related the service experience to course content through class discussions, reflection papers, projects, etc. and how participation in service-learning affected his or her understanding of academic concepts in the course.
Outstanding Student Volunteer
 
Outstanding Student Volunteer
Presented to the student who provided exceptional service to a community agency as a volunteer, NOT through a service-learning course. Describe the service, and contribution to or impact on the agency or clients served.
Outstanding Community Service by a Student Organization (including academic club, fraternity, sorority, etc.)
 
Outstanding Community Service by a Student Organization (including academic club, fraternity, sorority, etc.)
Presented to the student organization that provided valuable service to the community, extending their mission and influence beyond the Buffalo State College campus. Describe the service, the contribution to or impact on the community and how the service reflects the mission of the student organization.
Outstanding Alternative Breaker
 
Outstanding Alternative Breaker
Presented to the Alternative Break participant who provided exceptional service, leadership, and reflection during an Alternative Break experience (excluding leadership team members). Describe the service and the impact on the group of participants and community.
Outstanding Faculty Commitment to Service-Learning
 
Outstanding Faculty Commitment to Service-Learning
Presented to a faculty member who demonstrated outstanding achievement in connecting learning with community service, facilitating students' delivery of useful service to a community partner through a service-learning course, incorporating innovative service-learning methods in a course, developing leadership and citizenship skills among students, and/or providing unique learning opportunities to service-learning course participants. Describe the nominees work and impact on the students and/or community this semester.
Outstanding Community Partner
 
Outstanding Community Partner
Presented to a community agency, group, or institution that demonstrated excellence in collaborative work with Buffalo State, resulting in a partnership that produced positive differences in the community and enhanced student learning this year. Describe community partnerís collaborative work on the development of an effective service-learning or volunteer project and how the project impacted the community and students.

Nominee:

*Name:


(student, faculty, community agency, course)

Email:

*Course:

Street:

City:

State:

Zip: Phone #:

Nominator:

*Name:
*Email:

*Affiliation:
*Street:
*City:
*State:


 *Zip:  *Phone #:

*Nomination narrative:(Describe nominee's achievement below.)

    
    DATE: 10/24/2014, 7:59:59 AM