Indiana School Counselor Association

							                        Indiana School Counselor Association
                          “Counselors C.A.R.E. Communicate, Advocate, Relate, Educate”
                    __________________________________________________________________

                            ISCA EXEMPLARY SCHOOL COUNSELOR AWARDS

       This year, the Indiana School Counselor Association will recognize our members by selecting an
Exemplary School Counselor Award winner at the elementary, middle school, high school, and counselor
educator levels and an Exemplary Administrator. This process is modeled after the ASCA national award
model. The ISCA awards will be presented at the ISCA Fall Conference Awards lunch on Friday, November 2,
2012. Anyone is welcome to nominate a deserving individual, but award recipients (except Exemplary
Administrator) must be current members of ISCA. (Please provide no more than one additional page for the
essay portion of nomination per nominator. There is no limit to the number of nominations each individual can
receive.)

I wish to nominate __________________________________ for the following award:

        _____ Exemplary Elementary School Counselor              _____ Exemplary Middle School Counselor
        _____ Exemplary High School Counselor                    _____ Exemplary Counselor Educator
        _____ Exemplary Administrator

Nominee Information
Nominee’s Work Place:
Work Address:
Home Address:
Email:
Phone:

Nomination Essay
Answer the following questions on a separate piece of paper. Please limit to one page for your response.

How are you familiar with the nominee’s work?

Why do you feel this individual is deserving of the Exemplary School Counselor Award? (Please provide
details of the work this individual does that makes them an outstanding candidate.)

Nominator Information
Name:
Address
Email:
Phone:

Please return the nomination form via email with the subject line “ISCA AWARD” by NO LATER THAN
September 14, 2012 to:
        Brandie Oliver
        bmoliver@butler.edu

Confirmation of receipt will be sent within 48 hours of receiving your application. If you do not receive confirmation
within that frame, please call 317-940-9069 to ensure application was successfully received.

The mission of the Indiana School Counselor Association is to advance the academic, career and personal/social
              development of all students through excellence in professional school counseling.