2023 PSE Award Nomination Form

2023 PSE Award Nomination Form

Nominator: Fill out and submit this nomination form, along with the appropriate completed criteria.
Please provide as much information as possible to help the committee make its final determination.

If you have any questions or issues submitting your nomination, contact Awards Committee Liaison Travis Tingvall at ttingvall@pseofwa.org.

Please submit nominations by March 31st, 2023!

1. Nominator, please fill out your information below: *This question is required.

First Name *This question is required.

Last Name *This question is required.

Street Address *This question is required.

Apt/Suite/Office

City *This question is required.

State *This question is required.

Zip *This question is required.

Home Phone *This question is required.

Personal Email *This question is required. This question requires a valid email address.

Relationship to Nominee *This question is required.

Please enter an 'other' value for this selection.

2. Please determine which category you feel best suits the individual or leave the category blank and the Awards Committee will decide which category is appropriate:
*This question is required.

Please provide the following information about the nominee: *This question is required.

Nominee's Name
Job Title:
Work Location:
Employer:
How long has nominee been a PSE member?

Legislative Member of the Year

Given to individuals who have exhibited political involvement, worked with legislators or legislation, and who are involved with PSE for the betterment of classified personnel.

*This question is required.

Has the individual served on the Legislative Council? *This question is required.

Yes	No
Yes	No

In what positions? *This question is required.

For how long? *This question is required.

Has the individual attended Legislative Conference on a regular basis? *This question is required.

Yes	No
Yes	No

What political campaigns has the individual worked on? *This question is required.

Has this individual lobbied in Olympia? *This question is required.

Yes	No
Yes	No

What issues or bills has this individual worked on? *This question is required.

Has this individual served as a legislative intern? *This question is required.

Yes	No
Yes	No

Has this person developed an important relationship with a legislator or political leader? *This question is required.

Yes	No
Yes	No

If you know, list who and the impact of the relationship. *This question is required.

PSE Life Member

This award is for a PSE-represented employee who was been active in PSE for a minimum of ten (10) years. Additionally, they must have made outstanding contributions to the general welfare of employees through PSE. This can be a retired PSE-represented employee. One life membership may be granted for every 5,000 PSE members, as computed at the time the Awards Committee makes its selection. This award should recognize someone who has completed most of his/her contributions to PSE (a lifetime of achievements). This requires a minimum of four (4) letters of recommendation: one letter from a chapter leader, one letter from a PSE state board member, and two letters from co-workers (one co-worker must be a PSE member).

Note: In addition to this nomination form, please submit four letters of recommendation: one letter from a chapter leader, one letter from a PSE board member, and two letters from co-workers (one co-worker must be a PSE member).
*This question is required.

Has this individual been active in their local chapter of PSE for 10 years or more? *This question is required.

Yes	No
Yes	No

Has this individual served on the State Board of Directors? *This question is required.

Yes	No
Yes	No

Has this individual served on a Board or committee at the local or state level? *This question is required.

Yes	No
Yes	No

If so, for how long? *This question is required.

What special impact did this individual make while serving? *This question is required.

List any state committees this individual has chaired or served on. *This question is required.

Share examples of outstanding contributions this individual contributed to the general welfare of classified school employees. *This question is required.

Are there new programs or significant changes were created under this person’s leadership? *This question is required.

Why are you nominating this individual? *This question is required.

Letter of recommendation #1 *This question is required.

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Letter of recommendation #2 *This question is required.

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Letter of recommendation #3 *This question is required.

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Letter of recommendation #4 *This question is required.

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Judy York Achievement Award

Nominees for the Judy York Achievement Award should meet the following criteria:

Years of Distinguished Service. The award is for lifetime achievement rather than for a single contribution, no matter how monumental. Nominees should have a minimum of 5 years of distinguished service to Public School Employees of Washington SEIU Local 1948.
Categories of Distinction. The Judy York Achievement Award is presented for achievement in leadership, professionalism, unconditional service to the board, and unwavering diplomacy. Distinction in these categories can be demonstrated through:
- Performance of the nominee while on the board of directors;
- Service beyond the requirements of the job of Zone Director or Executive Board;
- Service to PSE such as: offices held, committee chairmanships, special projects, meetings or other distinguished service.

Note: Each nomination should be supported by a letter of nomination, and a minimum of three (3) letters of recommendation that speak to the nominee's distinction in the identified categories. The nomination packet should be addressed to the Awards Committee Chair of PSE.

In the absence of a qualified candidate, this award may not be presented annually. *This question is required.

Has this individual been active in their local chapter of PSE for 5 years or more? *This question is required.

Yes	No
Yes	No

Has this individual served on the State Board of Directors? *This question is required.

Yes	No
Yes	No

Has this individual chaired a committee at the state level? *This question is required.

Yes	No
Yes	No

If so, for how long?

How has this individual shown service beyond the requirements of the job of Zone Director or Executive Board Member? *This question is required.

Share examples of this individual's service to PSE, such as: offices held, committee chairmanships, special projects, meetings or other distinguished service. *This question is required.

Why are you nominating this individual? *This question is required.

Letter of Nomination: The letter of nomination should include the name, address, and daytime telephone number of the nominee; the name, address, daytime telephone number, and signature of the nominator; and the names of the authors of letters of recommendation. *This question is required.

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Letter of recommendation #1: The three letters of recommendation must include information about how the nominee exemplified each of the categories (leadership, professionalism, unconditional service to the board, and unwavering diplomacy). The nominator may write one of the three letters of recommendation. Letters of recommendation should focus on the quality rather than the quantity of the performance of the nominee, emphasizing the distinction of the nominee's performance. *This question is required.

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Letter of recommendation #2: *This question is required.

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Letter of recommendation #3: *This question is required.

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Education Support Professional of the Year

This coveted award is granted to a PSE-represented employee who has demonstrated a commitment to education. Individual must be an active member in good standing of their local PSE chapter. They must have been a PSE member for minimum of three years. The individual should have positive relationships with other staff, the district, and with PSE.

Note: In addition to this nomination form, please submit two personal letters of recommendation. *This question is required.

Has this individual been a member in good standing for three years or more?  *This question is required.

Yes	No
Yes	No

Give concrete examples of this person’s outstanding work performance. *This question is required.

How do you feel the candidate has contributed to the betterment of the school district or university? *This question is required.

How has the candidate contributed to student or program success? *This question is required.

In what way has this individual improved working relationships among co-workers? *This question is required.

What makes this employee stand out? *This question is required.

Letter of recommendation #1: *This question is required.

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Letter of recommendation #2: *This question is required.

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UCSE (United Classified School Employees) Award

This award is for Education Support Professionals who are doing extraordinary and inspirational things in their schools and communities to promote quality education, foster safe and positive learning environments, and ensure student success. This award is presented in partnership with United Classified School Employees (UCSE), a coalition of state and national unions (including PSE SEIU Local 1948) that together represent school support employees nationwide.

The UCSE Award is meant to honor the individual contributions, and to recognize the essential role that all Education Support Professionals play in education. The individual must be an active member in good standing of a local PSE chapter. The individual must have been a PSE member for a minimum of ten years.

In addition to this nomination form, please submit three letters of recommendation. These can be from coworkers, supervisors, superintendents, or community members. *This question is required.

Is this individual an active member in good standing of a local PSE SEIU Local 1948 chapter? *This question is required.

Has this individual been a member of PSE for a minimum of 10 years?  *This question is required.

Describe how the employee has contributed to the betterment of their school, district or university. *This question is required.

Give examples of employee’s outstanding work performance. *This question is required.

Describe ways in which employee has improved working relationships among co-workers and working conditions. *This question is required.

Give examples of how this member has demonstrated outstanding leadership. *This question is required.

List voluntary community involvement. *This question is required.

List why this employee stands out from all others. *This question is required.

Is this individual able to travel to outside of the state this year? *This question is required.

Letter of recommendation #1: *This question is required.

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Letter of recommendation #2: *This question is required.

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Letter of recommendation #3: *This question is required.

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Higher Education Award for Outstanding Achievement

This award is granted to a PSE-represented employee who has demonstrated a commitment to higher education. This award is intended to recognize higher education employees. The individual should have positive relationships with other staff, their university, and with PSE. The individual must be an active member in good standing of the local PSE chapter. They must have been a PSE member for minimum of three years. *This question is required.

How has this individual improved the working conditions for classified employees? *This question is required.

Has this individual demonstrated a specific concern for classified employee issues? *This question is required.

Provide examples of this individual’s outstanding work performance. List specific ways in which this employee has contributed to student or program success. *This question is required.

Has this individual received any previous awards, commendations, or recognition for excellent work performance? If so, please list. *This question is required.

List any leadership positions this individual has held, either in the union, on the negotiations team, committees, advisory groups, or other university department working groups. *This question is required.

Leadership Award

This award is for PSE members who demonstrate outstanding leadership in their local chapter or who make special contributions to PSE members through their role in the chapter or by serving on state committees. More than one award may be granted. The state president presents these awards at chapter or zone meetings. *This question is required.

What chapter position(s) has this person held? *This question is required.

What specific contributions to the chapter has he or she made? *This question is required.

Give specific examples of how this person has demonstrated outstanding leadership in their local chapter. *This question is required.

Provide information on how this individual’s leadership had a positive impact on or made an important change to the chapter. *This question is required.

Job Performance Excellence Award

PSE members who are recognized by their supervisors for their outstanding performance on the job may receive a Job Performance Excellence recognition. This award is not related to any union activity, but simply recognizes members who are contributing to their school community by the job they do every day. *This question is required.

Describe why you feel the candidate’s performance on the job is worthy of recognition. *This question is required.

Describe what the candidate has done for the school, students or employer that makes their performance noteworthy. *This question is required.

Honorary Member of the Year
(This award is for non-PSE members)

Honorary membership may be conferred upon any qualified individual as determined by the Awards Committee. This award is intended to honor principals, superintendents, teachers, or other non-PSE educational personnel. Honorary memberships are reserved for individuals who are non-members but who have demonstrated concern for or aided classified school employees in a significant way. Honorary memberships are granted for a period of one year following the annual convention at which the award is made. *This question is required.

Has this person been in a position to improve conditions for classified employees? *This question is required.

Yes	No
Yes	No

Please explain: *This question is required.

What was the impact? *This question is required.

How has this individual demonstrated concern or special interest in classified workers/issues? *This question is required.

Provide specific examples of times or ways classified working conditions were improved due to this person’s influence. *This question is required.

Does this individual treat classified employees with respect? *This question is required.

Yes	No
Yes	No

Please provide examples: *This question is required.