GMS Student Leader Nomination Form

Teacher Name *

Name of Student *

Student’s Parent(s) *

Please choose as many behaviors as the student exhibits and type them in the box: Model Behavior(s): Cares for himself/herself; Cares for others; Initiative to cooperate; Helpful to Others; Accepting of Help; Loves new ideas; Patiently listens; Curious & never judgmental; Great vocabulary; Reads emotion well; Honest & trustworthy; Positive attitude; Polite & mannerly, Unselfish; Considerate of others; Takes care of our school; Prioritizes well; Strong will-power; Focused & on-task; True in the moment; Work ethic is great; Purpose driven; Takes ideas into plans; Independent; Uses imagination; Self-awareness; Avoids making excuses; Avoids complaining/blaming; Other… *

Please provide an example of how this student has exhibited model behavior and leadership skills as a GMS student.

Name