New+member+nomination+form

**(Nomination deadline: June 15, 2011 – Please type or print)**
 * Nomination for Membership in the South Dakota Beadle Club 2011**
 * Name of Nominee: **


 * ____________________________________________________________________________________________________________________________________________________________ **
 * (First) ** ** (Middle Initial) ** ** (Last) **
 * Address: **


 * ___________________________________________________________________________________________________________________________________________________________ **
 * (Street or P.O. Box Number) (City/Town) (State and Zip Code) (Phone) **


 * Name and Address of Local newspaper:________________________________________________Years in South Dakota Education_________ **


 * ** Nomination Statement **** : **** This nomination is limited to 125 words. *Provide 1-2 examples of recent significant contributions and/or meritorious service the nominee has given to improving education in South Dakota. This statement will be used by the nominator to introduce the nominee in the induction ceremony. (Nominator is asked to provide basic biographical information, i.e. birthplace, spouse name, number of children, current employment, etc. This information will not count in the 125 word limit.) **

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 * *Use the back of this page, if necessary, but please limit this statement to 125 words. Additional materials, such as educational history, employment record, and honors may be attached to this form. **


 * __ (Signature, address and telephone number of person making nomination) __**


 * __ _____________________________________________________________________________________________________________________ __**


 * __ _____________________________________________________________________________________________________________________ __**

SD Beadle Club nominations are to be made in accordance with the following guidelines:
 * Each active club member shall have the annual privilege of nominating one individual to be considered for membership.
 * All individuals in SD (men & women) engaged in the teaching profession or other allied education endeavors who have served for at least ten (10) years are eligible for membership.
 * To be eligible for membership, a person must be one who vigorously supports education and has given meritorious service to the cause of public education over a period of at least ten years in SD. Such service to have been recent and evidence by actual accomplishments in the improvement of conditions of public education in the State. (Article II, Section 6, B, South Dakota Beadle Club Constitution.
 * No more than sixteen (16) individuals shall be elected in any one year.
 * ** Lifetime dues: $50.00 active or $40.00 retired. **

** Send nominations to: ** **__Dean Christensen, Deuel School District, PO Box 770, Clear Lake, SD, 57226.__** ** Beadle Club dues are to be paid with the application. **   ** (If necessary, please attach an additional sheet of paper to add more information) **