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2016 Official Nomination Form

Exemplary Leadership Award

Presented by the Buckeye Association of School Administrators

CRITERIA:

The BASA Exemplary Leadership Award will be presented to an active member in each

BASA region who has demonstrated outstanding educational leadership in making significant contributions to

educational administration in a school district, education service center or educational institution. The

candidate is required to have a minimum of three years of continuous service as an administrator or college

instructor and to have been a BASA member for a minimum of three years.

PROCEDURE:

A selection committee has been appointed by the regional director within each of the

following BASA regions. Any individual may nominate him/her self or someone else for this award.

This official nomination form for the Exemplary Leadership Award must be submitted to your

regional

director

listed below by

August 19, 2016

Please see the map on reverse if you are unsure of your region. The

awards will be presented at the BASA Fall Conference.

Nominations will be accepted in the following BASA Regions

Please submit your nominations to your Regional Director by August 19, 2016

REGIONAL DIRECTORS

Region 4

Director:

Russell Bennett, ESC of Cuyahoga County

bennett@esc-cc.org

Region 5

Director:

Tom Perkins, Northern Local Schools

no_tperkins@seovec.org

Region 8

Director:

Doug Ute, Newark City Schools

dute@laca.org

Region 9

Director:

Susan Gunnell, Huber Heights City Schools

susan.gunnell@huberheightscityschools.org

Region 10

Director:

James Metcalf, Plyjmouth Shiloh Local Schools

metcalf.jim@plymouth.k12.oh.us