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OSPI
CLIFF BOYCE NOMINATION FORM
You must be a member of WTSEA and certified by OSPI to teach in a public school program in order to
nominate someone or to be nominated for this award
*
Indicates required field
Date
*
Name of nominee
*
First
Last
Phone Number
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Place of Employment
*
ESD 101
ESD 105
ESD112
ESD 113
ESD 114
ESD 121
ESD 123
ESD 171
ESD 189
OTHER
Name of Agency / Commercial School if you have selected "Other"
*
If you work for an agency or commercial school and have selected "other" please enter the name of your company here:
Email
*
Number of years involved with TSE
*
Major area of responsibility in TSE
*
Please give an approximate number for each of the questions below in uncertain
For each item below give then number of years of service:
# of years in TSE classroom
*
# of years behind the wheel
*
# of years a member of WTSEA
*
# of WTSEA conferences attended
*
List any special techniques this nominee or materials this candidate has developed for use in Traffic Safety Education
*
List the major considerations that make this nominee deserving of the award
*
Please list any other reason that this nominee should receive the Cliff Boyce Award
*
Person nominating ( to contact for any additional information)
*
First
Last
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Phone Number
*
Alternate Phone Number
*
Place of Employment
*
ESD 101
ESD 105
ESD 112
ESD 113
ESD 114
ESD 121
ESD 123
ESD 171
ESD 189
OTHER
Name of Agency / Commercial School if you have selected "Other"
*
If you work for an agency or commercial school and have selected "other" please enter the name of your company here:
Submit
Welcome
About Us
>
Contact Us
Mission
>
Rationale: TSE in Public Schools
Constitution
Bylaws
Board Members
>
Board Meeting Minutes
More About Elections
Board Nominations
Awards
>
Distinguished Service Nomination Form
Cliff Boyce Nomination Form
Award History
ESD Info
Senior Driving
Resources
Video List
>
Teenage Brain Video
CPR Video
Marijuana Education
Resource List
>
General News
TSE Continuing ED Requirements
TSE Program Needs
Clock Hours
DOL - Teens
DOL - Driver Training
Best Practices
SADD Club
>
Destructive Decisions
Think it Through
Texting Awareness
Distracted Driving
Texting and Driving
OSPI