<p> HEALTH EDUCATOR AWARD</p><p>AWARD QUALIFICATIONS & NOMINATION FORM</p><p>The TAPHE Regional Health Educator Award hounours an individual for their work to further the importance of health education in Nova Scotia and/or who had served as a champion in promoting the importance of Health Promoting Schools at the regional, provincial, or federal level.</p><p>Number of Awards:</p><p>One recipient will be selected from each Nova Scotia School Board (the TAPHE Awards committee reserves the rights to award multiple recipients if the nominations are equal in achievements/quality).</p><p>Annapolis Valley Regional School Board Strait Regional School Board</p><p>Cape Breton-Victoria Regional School Board Tri-County Regional School Board</p><p>Chignecto-Central Regional School Board Consiel Scolaire Acadien Provincial</p><p>Halifax Regional School Board MK First Nations School Board</p><p>South Shore Regional School Board</p><p>Eligibility Requirements:</p><p>Directly involved in school-based health education (teacher, administration, researcher, physician or community health professional)</p><p>Have made a positive contribution to improving the field of health education through research, curriculum development and/or delivery, program development and/or delivery within a school setting. </p><p>Selection Process: </p><p>Completed nomination packages will be reviewed by the TAPHE Awards committee. All components of the award must be completed and received by the deadline. Incomplete or late applications may not be considered (these nominations could be sent back for completion and/or held for the next calendar year). COMPLETED NOMINATION PACKAGES MUST BE RECEIVED BY: Friday, September 20th, 2014</p><p>Candidate Information:</p><p>First Name: Last Name:</p><p>Address:</p><p>City: Province: Nova Scotia Postal Code:</p><p>Phone Number: </p><p>E-Mail: </p><p>School Name: School Board:</p><p>School Address:</p><p>City: Province: Nova Scotia Postal Code:</p><p>School Phone Number:</p><p>First Nominator:</p><p>First Name: Last Name:</p><p>Title: Organization/School:</p><p>Address:</p><p>City: Province: Nova Scotia Postal Code:</p><p>Phone Number: E-Mail:</p><p>Relationship to Nominee: All Nominators are encouraged to include a letter of reference (See Reference Letters pg 4). Second Nominator:</p><p>First Name: Last Name:</p><p>Title: Organization/School:</p><p>Address:</p><p>City: Province: Nova Scotia Postal Code:</p><p>Phone Number: E-Mail:</p><p>Relationship to Nominee: All Nominators are encouraged to include a letter of reference (See Reference Letters pg 4).</p><p>Third Nominator:</p><p>First Name: Last Name:</p><p>Title: Organization/School:</p><p>Address:</p><p>City: Province: Nova Scotia Postal Code:</p><p>Phone Number: E-Mail:</p><p>Relationship to Nominee: All Nominators are encouraged to include a letter of reference (See Reference Letters pg 4).</p><p>T Thank you for taking the time to nominate a teacher, administrator, guidance counselor, or community member. </p><p>There are many quality educators hidden in our schools and communities and it’s an important for them to be recognized for the time, effort, and quality they provide for our students.</p><p>Biographical Sketch: Please describe the school-based health education program(s) with which the nominee has been involved:</p><p>How did the nominee accomplish their work and with whom (if applicable) did they work? Why do you believe the nominee has made a substantial contribution to advancing the field of health education?</p><p>Letters of Reference:</p><p>Please include 2-3 letters of reference for the candidate. Letters of reference should highlight the candidate in the following areas:</p><p>Describe how the nominee worked with you and your organization/group.</p><p>Describe the positive impact the nominee made as a result of this collaboration.</p><p>Describe how the nominee went above and beyond expectations to achieve success.</p><p>Please send completed nominations to:</p><p>TAPHE Awards Committee Chair E-mail: Fax:</p><p>738 Hwy 340 [email protected] Amanda Brewer South Ohio, Nova Scotia (cc) [email protected] TAPHE Awards Committee B5A 5N1 (902) 749-5170</p>