Standing Committee On Professional Excellence (SCOPE) Nomination Form

NOMINATION FORM FOR STUDENT USE

Please provide reasons for this nomination based on the following questions. If you are unable to respond to the question, please indicate with Not Applicable (NA).

(Confidential)

Nominator's Name (who are you?)
Nominator's Name (who are you?)
First Last
Nominator's Email
Nominator's Phone Number
Nominee Name (who are you nominating?)
Nominee School or Department
How has the nominee motivated and inspired students to learn?

Consider the following questions: Do they deliver course material in engaging ways? Do they implement new strategies or technologies to enhance and support student success? Do they communicate in a way that facilitates understanding and respectful dialogue?
How has the nominee made a difference in your life?

Consider the following questions: Are they approachable and accessible? Are they authentic? Have they gone above and beyond to help you achieve your academic or personal goals?
How does the person foster relationship and wellbeing in the classroom as well as in our Selkirk College Community?

Consider the following questions: Are they empathetic? Do they foster community? Do they go beyond instruction using healthy learning techniques in the classroom?
Additional comments or information
SCOPE decisions are made only after careful review.

Please submit the name, position, email address and/or phone number of people that the SCOPE Committee may contact for documentation to support your nomination.

This could include other students, instructors, Selkirk College staff, or community members who know the nominee and can speak to their successes. The more contacts you can suggest, the more likely it is that the nomination will succeed.
Provide Contact Info (name, position, email and/or phone number)
Provide Contact Info (name, position, email and/or phone number)
Provide Contact Info (name, position, email and/or phone number)
Nominator Signature

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.
Thank you!

Thank you for taking the time to make this nomination.

REMINDER: THIS NOMINATION IS CONFIDENTIAL.

If you have further documentation to support this nomination, or if you have questions or concerns, please email SCOPE@selkirk.ca

Standing Committee On Professional Excellence (SCOPE) Nomination Form

Standing Committee On Professional Excellence (SCOPE) Nomination Form

How has the nominee motivated and inspired students to learn?

How has the nominee made a difference in your life?

How does the person foster relationship and wellbeing in the classroom as well as in our Selkirk College Community?

Additional comments or information

Thank you!